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11641 - December 12, 2024 -

Date

December 12, 2024

Repair Order

11641

Facility

Facility Name

Lutheran Downtown Hospital

Contact Name

Naka Piohia

Billing Name

SBOAP-InvoicesOnly@chs.net

Email Address

wpiohia@lhn.net

Phone Number

Shipping Address

702 Van Buren St

Fort Wayne, IN 46802

United States

Billing Address

Equipment

PO #

115200002441

Manufacturer

Philips

Model #

MX40-IC4

Serial #

US156L0623

Asset Tag #

A21156

Reported Failure

won't turn on

Anything Else