Innosonian, Inc
Innosonian, Europe
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| HCA Order Form |
| Division | South Atlantic Division | ||
| Site/Hospital | Colleton Medical Center | ||
| Billing | Delivery | ||
| Name | Susan.Burke@hcahealthcare.com | Name | Virginia Sherry |
| George.Greene1@healthtrustpg.com | patricia.acedera@hcahealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 501 Robertson Blvd |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | |
| Address Line 3 | Suite 1100 | Address Line 3 | |
| City | Nashville | City | Walterboro |
| State | TN | State | SC |
| ZIP | 37203 | ZIP | 29488 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| S17011 | Brayden Baby/Infant Artificial Lung Air Guide | 10 | $15.80 |
| C17001 | Brayden Baby/Infant Replacement Lung (single) | 10 | $94.50 |
| S17013 | Brayden Baby/Infant Replacement Airway Tube (single) | 5 | $14.45 |
| $0.00 | |||
| Sub-Total | $124.75 | ||