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10962 - January 15, 2024 -

Date

January 15, 2024

Repair Order

10962

Facility

Facility Name

Jackson Madison County General Hospital

Contact Name

Cliff Harris

Billing Name

Agiliti Health Inc

Email Address

cliff.harris@agilitihealth.com

Phone Number

Shipping Address

620 Skyline Drive

Jackson, TN 38301

United States

Billing Address

11095 Viking Dr.

United States

Equipment

PO #

4700057182

Manufacturer

Philips

Model #

MX-40

Serial #

45356422511

Asset Tag #

1676532

Reported Failure

Battery Post pushed in

Anything Else