Select Injector Type Select Injector MEDRAD Advanta MEDRAD Envision MEDRAD Mark IV MEDRAD Mark V MEDRAD Mark V Plus MEDRAD Mark V Provis MEDRAD MCT MEDRAD MCT Plus MEDRAD Spectris MEDRAD Spectris-Solaris EP MEDRAD Spectris-Solaris MR MEDRAD Stellant D MEDRAD Stellant SX MEDRAD Vistron Liebel-Flarsheim/Mallinckrodt Angiomat 3000 Liebel-Flarsheim/Mallinckrodt Angiomat 6000 Liebel-Flarsheim/Mallinckrodt Angiomat Illumena Liebel-Flarsheim/Mallinckrodt CT 9000 Liebel-Flarsheim/Mallinckrodt CT9000ADV Liebel-Flarsheim/Mallinckrodt Optivantage Liebel-Flarsheim/Mallinckrodt Optistar LE Liebel-Flarsheim/Mallinckrodt Optistar ELITE Liebel-Flarsheim/Mallinckrodt Optistar MR Acist/EZEM Empower Acist/EZEM Empower CTA Acist/EZEM Empower MR Other *

If Other

Serial # *

Department *

Location *

Dept Tel. *

Dept Contact Name *

Accept Fee $995.00

Add more

Select Injector Type Select Injector MEDRAD Advanta MEDRAD Envision MEDRAD Mark IV MEDRAD Mark V MEDRAD Mark V Plus MEDRAD Mark V Provis MEDRAD MCT MEDRAD MCT Plus MEDRAD Spectris MEDRAD Spectris-Solaris EP MEDRAD Spectris-Solaris MR MEDRAD Stellant D MEDRAD Stellant SX MEDRAD Vistron Liebel-Flarsheim/Mallinckrodt Angiomat 3000 Liebel-Flarsheim/Mallinckrodt Angiomat 6000 Liebel-Flarsheim/Mallinckrodt Angiomat Illumena Liebel-Flarsheim/Mallinckrodt CT 9000 Liebel-Flarsheim/Mallinckrodt CT9000ADV Liebel-Flarsheim/Mallinckrodt Optivantage Liebel-Flarsheim/Mallinckrodt Optistar LE Liebel-Flarsheim/Mallinckrodt Optistar ELITE Liebel-Flarsheim/Mallinckrodt Optistar MR Acist/EZEM Empower Acist/EZEM Empower CTA Acist/EZEM Empower MR Other *

If Other

Serial # *

Department *

Location *

Dept Tel. *

Dept Contact Name *

Accept Fee $995.00

Add more

Select Injector Type Select Injector MEDRAD Advanta MEDRAD Envision MEDRAD Mark IV MEDRAD Mark V MEDRAD Mark V Plus MEDRAD Mark V Provis MEDRAD MCT MEDRAD MCT Plus MEDRAD Spectris MEDRAD Spectris-Solaris EP MEDRAD Spectris-Solaris MR MEDRAD Stellant D MEDRAD Stellant SX MEDRAD Vistron Liebel-Flarsheim/Mallinckrodt Angiomat 3000 Liebel-Flarsheim/Mallinckrodt Angiomat 6000 Liebel-Flarsheim/Mallinckrodt Angiomat Illumena Liebel-Flarsheim/Mallinckrodt CT 9000 Liebel-Flarsheim/Mallinckrodt CT9000ADV Liebel-Flarsheim/Mallinckrodt Optivantage Liebel-Flarsheim/Mallinckrodt Optistar LE Liebel-Flarsheim/Mallinckrodt Optistar ELITE Liebel-Flarsheim/Mallinckrodt Optistar MR Acist/EZEM Empower Acist/EZEM Empower CTA Acist/EZEM Empower MR Other *

If Other

Serial # *

Department *

Location *

Dept Tel. *

Dept Contact Name *

Accept Fee $995.00

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