Invoice Radiologist in Israel Jerusalem –Free Word Template Download with AI
12 King David Street
Jerusalem, 9423701
Israel
Phone: +972-2-555-1234
Email: [email protected]
VAT ID: 512345678
Invoice Number: INV-2024-0892
Date: March 15, 2024
Due Date: April 14, 2024
Bill To:
Mount Scopus Medical Center
Accounts Payable Department
10 Ein Kerem Road
Jerusalem, 91120
Israel
Contact: Sarah Cohen
Email: [email protected]
Service Details
This invoice is issued by Jerusalem Advanced Radiology Center, a leading radiology practice located in the heart of Jerusalem, Israel. Our team of board-certified radiologists provides comprehensive diagnostic imaging services to healthcare facilities throughout Jerusalem and the surrounding regions. The services detailed below were performed during the billing period of February 1-28, 2024, in accordance with the service agreement between our institutions.
| Description | Quantity | Unit Price (ILS) | Total (ILS) |
|---|---|---|---|
|
CT Scan Interpretation Services Professional radiologist interpretation of computed tomography scans performed at Mount Scopus Medical Center. Includes detailed diagnostic reports with findings and impressions. |
145 | 350.00 | 50,750.00 |
|
MRI Scan Interpretation Services Expert radiologist analysis of magnetic resonance imaging studies. Comprehensive reports including neurological, musculoskeletal, and abdominal imaging interpretations. |
89 | 450.00 | 40,050.00 |
|
Ultrasound Interpretation Services Radiologist review and interpretation of ultrasound examinations including obstetric, abdominal, and vascular studies performed in Jerusalem facilities. |
210 | 200.00 | 42,000.00 |
|
X-Ray Interpretation Services Professional radiologist reading of plain radiographic studies including chest, skeletal, and abdominal X-rays. |
320 | 120.00 | 38,400.00 |
|
Emergency Radiology Coverage On-call radiologist services for emergency department imaging interpretation during nights, weekends, and holidays in Jerusalem. |
28 | 800.00 | 22,400.00 |
|
Consultation Services Direct radiologist consultations with referring physicians regarding complex imaging findings and diagnostic recommendations. |
15 | 500.00 | 7,500.00 |
|
Second Opinion Reviews Additional radiologist review of previously interpreted imaging studies for confirmation or alternative diagnostic perspectives. |
8 | 400.00 | 3,200.00 |
| Subtotal: | 204,300.00 | ||
| VAT (17%): | 34,731.00 | ||
| TOTAL DUE: | 239,031.00 ILS | ||
Payment Terms and Notes:
Payment is due within 30 days of the invoice date. Please make payment via bank transfer to the following account:
Bank: Bank Hapoalim
Branch: Jerusalem Central
Account Number: 999-888-777
SWIFT Code: HAPoilmm
Reference: INV-2024-0892
All services were performed by licensed radiologists registered with the Israeli Medical Council and operating in compliance with Israeli healthcare regulations. Our Jerusalem-based radiology team maintains the highest standards of diagnostic accuracy and patient care. Late payments will incur a 1.5% monthly interest charge. For any questions regarding this invoice, please contact our billing department at [email protected] or call +972-2-555-1234.
This invoice is issued in accordance with Israeli tax law. VAT registration number: 512345678. Jerusalem Advanced Radiology Center is committed to providing exceptional radiological services to healthcare providers throughout Jerusalem and Israel. Our radiologists utilize state-of-the-art technology and evidence-based diagnostic protocols to ensure accurate and timely interpretations of all imaging studies.
Authorized Signature:
Dr. Michael Levi, MD
Chief Radiologist
Jerusalem Advanced Radiology Center
Received By:
_________________________
Date: ___________________
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