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11464 - August 19, 2024 -

Date

August 19, 2024

Repair Order

11464

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 #

115200000577

Manufacturer

PHILIPS

Model #

MX40-IC4

Serial #

US156L0643

Asset Tag #

A21154

Reported Failure

NOT WORKING

Anything Else