Innosonian, Inc
Innosonian, Europe
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| HCA Order Form |
| Division | North Texas Division | ||
| Site/Hospital | NTXD HHCCA | ||
| Billing | Delivery | ||
| Name | marlo.cooper@medicalcityhealth.com | Name | Marlo Cooper |
| George.Greene1@healthtrustpg.com | marlo.cooper@medicalcityhealth.com | ||
| Address Line 1 | Clinical Education Financial Reporting | Address Line 1 | HCA Healthcare Center for Clinical Advancement c/o Marlo Cooper |
| Address Line 2 | Clinical Education Financial Reporting | Address Line 2 | 3201 Dallas Parkway |
| Address Line 3 | Suite 1100 | Address Line 3 | 9th floor Suite 900 |
| City | Nashville | City | Frisco |
| State | TN | State | TX |
| ZIP | 37203 | ZIP | 75034 |
| Items to Order | |||
| Code | Description | Quantity | Total ($) |
| A17001 | Brayden Baby/Infant Cotton Diaper | 5 | $82.70 |
| C17001 | Brayden Baby/Infant Replacement Lung (single) | 20 | $198.40 |
| $0.00 | |||
| Sub-Total | $281.10 | ||