| Name | Value |
|---|---|
| PROVIDER TYPE | Technologists, Technicians & Other Technical Service Providers |
| CLASSIFICATION | Radiologic Technologist |
| DEFINITION | A radiologic technologist who specializes in mammography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of mammogram imaging, exam techniques, equipment protocols, radiation safety, and patient care. |
| AREA OF SPECIALIZATION | Mammography |
| STATUS | Active |
| VA CODE | V150308 |
| X12 CODE | 2471M2300X |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5255714 |
| EFFECTIVE DATE/TIME |
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