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11457 - August 16, 2024 -

Date

August 16, 2024

Repair Order

11457

Facility

Facility Name

Lutheran Downtown Hospital

Contact Name

Naka Piohia

Billing Name

SBOAP-InvoicesOnly@chs.net

Email Address

naka_piohia@lhn.net

Phone Number

Shipping Address

702 Van Buren St

Fort Wayne, IN 46802

United States

Billing Address

Equipment

PO #

115200000494

Manufacturer

Philips

Model #

MX40-IC4

Serial #

US156L0639

Asset Tag #

A21155

Reported Failure

will not monitor cardiac rhythms

Anything Else