Innosonian, Inc
Innosonian, Europe
Go Back
| HCA Order Form |
| Division | TriStar Division | ||
| Site/Hospital | TriStar CCA | ||
| Billing | Delivery | ||
| Name | Matthew.Thomas4@hcahealthcare.com | Name | Carlos Reyes |
| George.Greene1@healthtrustpg.com | Carlos.Reyes@hcahealthcare.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | 5380 Hickory Hollow Pkwy |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | Suite 200 |
| Address Line 3 | Suite 1100 | Address Line 3 | |
| City | Nashville | City | Antioch |
| State | TN | State | TN |
| ZIP | 37203 | ZIP | 37013 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| C99101 | Brayden Adult Face Skin Piece | 1 | $14.65 |
| C99008 | Brayden Premium Urethane Adult Lung Kit (Pack of 6) | 1 | $88.20 |
| C17001 | Brayden Baby/Infant Replacement Lung (single) | 6 | $56.70 |
| Sub-Total | $159.55 | ||