Innosonian, Inc
Innosonian, Europe
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| HCA Order Form |
| Division | Far West Division | ||
| Site/Hospital | Southern Hills | ||
| Billing | Delivery | ||
| Name | Elizabeth.Cabada@hcahealthcare.com | Name | Lindsay Sklamberg |
| George.Greene1@healthtrustpg.com | Lindsay.Sklamberg@hcahealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 9280 W Sunset Rd |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | Suite 226 |
| Address Line 3 | Suite 1100 | Address Line 3 | |
| City | Nashville | City | Las Vegas |
| State | TN | State | NV |
| ZIP | 37203 | ZIP | 89148 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| A99003 | Brayden Power Adaptor for Adult & Baby, 110v, 8ft cord, U.S. Plug | 3 | $43.95 |
| C17001 | Brayden Baby/Infant Replacement Lung (single) | 15 | $141.75 |
| S17011 | Brayden Baby/Infant Artificial Lung Air Guide | 12 | $18.96 |
| S17013 | Brayden Baby/Infant Replacement Airway Tube (single) | 15 | $43.35 |
| Sub-Total | $248.01 | ||