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Sutter Imaging Roseville PET fax number
(916) 865-1491
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Nuclear medicine / PET
Used for: Nuclear medicine / PET imaging scheduling and related communications (orders, referrals, and imaging reports)
Fax destination details
- Department
- Nuclear medicine / PET
- Purpose
- Nuclear medicine / PET imaging scheduling and related communications (orders, referrals, and imaging reports)
- Form
- Diagnostic Imaging Referral Form — Diagnostic Imaging Referral Form
- Address
- 2241 Douglas Blvd., Suite 110, Roseville, CA 95661
- Voice phone
- 916-878-3790
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Fields include: Ordering Provider; Copy Reports to; Date Completed; Patient Name; DOB; Exam Requested; Indications / Diagnosis; Insurance Carrier; Prior Authorization; Scheduling details. The form is used to request imaging and to route reports back to the ordering clinician.
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