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Your Contact Information

Facility Name
Address 1
Address 2
City
State
Zipcode
Contact Person
Contact Phone
Contact Email

Facility Information

Hospital Beds
E.R. Visits/Year
RAD (CR) Rooms
CT Units
US Units
MRI Units
Mammo Units
Nuclear Units
Full Time Techs

Current Onsite Day Coverage

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Current # of onsite rads each day
Current coverage method for extra work
Other

Needed Onsite Day Coverage

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Needed # of onsite rads each day
Fluoroscopy
CT and US guided biopsies
Non-Special Procedures (hysteros, tube check and placements, etc)
Diagnostic Mammo, wire locs, breast US
Special Procedures (Interventional Spine, abscess drain, filter placement, angiography, etc.)
Medical Staff Committee/Med Exec
Additional Facility Needs

Additional Information

Comments, Concerns, Questions

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780 East Britton Road, Oklahoma City, OK 73114  |  405-286-4114