Innosonian, Inc
Innosonian, Europe
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| HCA Order Form |
| Division | North Carolina Division | ||
| Site/Hospital | Mission Hospital: Main Campus | ||
| Billing | Delivery | ||
| Name | emily.quayle@hcahealthcare.com | Name | Emily Quayle |
| George.Greene1@healthtrustpg.com | emily.quayle@hcahealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 1 Hospital Drive Suite 6200 |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | |
| Address Line 3 | Suite 1100 | Address Line 3 | |
| City | Nashville | City | Asheville |
| State | TN | State | NC |
| ZIP | 37203 | ZIP | 28801 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| [980] | Brayden Adult Lung Kit Version A04 (Pack of 24) | 3 | $141.75 |
| [980] | Brayden Baby/Infant Replacement Lung (single) | 6 | $56.70 |
| Sub-Total | $198.45 | ||