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FACILITY PROVIDING RADIOLOGIC EXAMINATION: DOL Medical Provider Number (if applicable):. Was image taken by a registered radiographer/radiographic technologist?Read more
NOTE: THIS FORM IS FOR REFERRING VETERINARIANS ONLY! Instructions: Radiographic interpretation services are provided during normal, weekday business hoursRead more
interpretation of a chest roentgenogram which is of a quality sufficient to demonstrate the presence of pneumoconiosis submitted in support of a claim for