Innosonian, Inc
Innosonian, Europe
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| HCA Order Form |
| Division | Capital Division | ||
| Site/Hospital | Lewis Gale Medical Center | ||
| Billing | Delivery | ||
| Name | Mathew.Huddleston@hcahealthcare.com | Name | Larry Bartley |
| George.Greene1@healthtrustpg.com | larry.bartley@hcahealthcare.commathew.huddlestonhcahealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 1802 Braeburn Dr. |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | |
| Address Line 3 | Suite 1100 | Address Line 3 | Attn: Larry Bartley, Clinical Education |
| City | Nashville | City | Salem |
| State | TN | State | VA |
| ZIP | 37203 | ZIP | 24153 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| C99008 | Brayden Premium Urethane Adult Lung Kit (Pack of 6) | 1 | $88.20 |
| C17001 | Brayden Baby/Infant Replacement Lung (single) | 3 | $28.35 |
| Sub-Total | $116.55 | ||