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EASTSIDE DIAGNOSTIC IMAGING, LLC ULTRASOUND QUESTIONNAIRE PLEASE COMPLETE THE FOLLOWING QUESTIONNAIRE PATIENT NAME: DOB: Account Number: AGE: FEMALE / MALE SOCIAL SECURITY #: (PLEASE CIRCLE) REFERRING

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What is eastside diagnostic imaging pllc?

Eastside Diagnostic Imaging PLLC is a medical imaging facility that provides diagnostic services such as X-rays, MRI scans, and ultrasounds.

Who is required to file eastside diagnostic imaging pllc?

The owners or operators of Eastside Diagnostic Imaging PLLC are required to file the necessary paperwork and reports for the business.

How to fill out eastside diagnostic imaging pllc?

To fill out Eastside Diagnostic Imaging PLLC paperwork, the owners or operators must provide information about the business, its operations, and financial status.

What is the purpose of eastside diagnostic imaging pllc?

The purpose of Eastside Diagnostic Imaging PLLC is to provide high-quality medical imaging services to patients and healthcare providers.

What information must be reported on eastside diagnostic imaging pllc?

Information such as revenue, expenses, patient volume, and types of services provided must be reported for Eastside Diagnostic Imaging PLLC.

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