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11188 - May 7, 2024 -

Date

May 7, 2024

Repair Order

11188

Facility

Facility Name

Jackson Madison County Hospital

Contact Name

Cliff Harris

Billing Name

Jackson Madison County Hospital

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 #

2058288

Manufacturer

Philips

Model #

MX-40

Serial #

4535642625

Asset Tag #

2058288

Reported Failure

Lead set connectors are worn off.

Anything Else