Innosonian, Inc
Innosonian, Europe
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| HCA Order Form |
| Division | Capital Division | ||
| Site/Hospital | HCA Healthcare Center for Clinical Advancement | ||
| Billing | Delivery | ||
| Name | Mathew.Huddleston@hcahealthcare.com | Name | Matt Huddleston |
| George.Greene1@healthtrustpg.com | mathew.huddleston@hcahealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 7300 Beaufont Springs drive |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | Suite 300, Center for Clinical Advancement |
| Address Line 3 | Suite 1100 | Address Line 3 | .Attn: Matt Huddleston |
| City | Nashville | City | Richmond |
| State | TN | State | VA |
| ZIP | 37203 | ZIP | 23225 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| [980] | Brayden Baby/Infant Replacement Airway Tube (single) | 10 | $28.90 |
| [980] | Brayden Baby/Infant Replacement Lung (single) | 10 | $94.50 |
| [980] | Brayden Adult Face/Mouth Connector | 10 | $25.20 |
| [980] | Brayden Baby/Infant Artificial Lung Air Guide | 10 | $15.80 |
| Sub-Total | $164.40 | ||