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11176 - April 29, 2024 -

Date

April 29, 2024

Repair Order

11176

Facility

Facility Name

Jackson Madison County Hospital

Contact Name

Jackson Madison Cty Hospital Cliff Harris 1190573

Billing Name

Agiliti Health

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 #

Warranty

Manufacturer

Philips

Model #

M3001A

Serial #

DE5220ER9H

Asset Tag #

1178334

Reported Failure

BP pump has low output.

Anything Else

This was repaired on Service Order 0281188 on 4/4/2024 and should be under warranty.