Radiology Physician

Required Qualifications & Credentials :

• Board Certified in Radiology REQUIRED
• Active ND License or IMLC with LOQ REQUIRED
• Certifications : ACLS, BLS, DEA, MQSA REQUIRED
• Clean malpractice / background history PREFERRED
• Availability for presentation at time of name clear REQUIRED

Presentation Packet Must Include :

Up-to-date CV (with scope of practice in job history, explanations for gaps 30 days)

Board Certification copies

Certifications : DEA, BLS, ACLS, MQSA

List of Procedures provider is comfortable performing

Copy of ND license (active status)

Details on any disciplinary actions or malpractice (must be explained, with documents)

Two recent references (within 2 years one supervisor, one peer)

Travel needs : airfare, lodging, rental car if applicable