Invoice Radiologist in Russia Saint Petersburg –Free Word Template Download with AI
Advanced Radiology & Imaging Center
19th Line, V.O., 42
Saint Petersburg, Russia, 199178
Tel: +7 (812) 555-01-99
Email: [email protected]
INN: 7800123456 | KPP: 780001001
Invoice Number: INV-SPB-2023-8842
Date of Issue: October 24, 2023
Due Date: November 07, 2023
Payment Terms: Net 14 Days
Bill To:
City Clinical Hospital No. 31
Department of Neurology
14th Line, V.O., 28
Saint Petersburg, Russia, 199178
Attn: Procurement Department
Service Period:
From: October 01, 2023
To: October 20, 2023
Project Ref: MRI-Contract-SPB-04
| # | Description of Radiological Services | Quantity | Unit Price (RUB) | Total (RUB) |
|---|---|---|---|---|
| 1 |
Consultation by Senior Radiologist Comprehensive interpretation of complex MRI scans for neurological conditions. Includes detailed written report in Russian and English, adhering to Saint Petersburg medical standards. |
15 | 4,500.00 | 67,500.00 |
| 2 |
Urgent CT Scan Interpretation Priority analysis of Computed Tomography scans for trauma patients. Performed by on-call Radiologist within the NeuroVision facility in Saint Petersburg. |
8 | 3,200.00 | 25,600.00 |
| 3 |
Mammography Screening Analysis Diagnostic review of digital mammography images. Includes BI-RADS classification and consultation notes. |
20 | 2,800.00 | 56,000.00 |
| 4 |
Second Opinion Service Expert review of external imaging data by a Chief Radiologist specializing in oncology. |
3 | 6,000.00 | 18,000.00 |
| 5 |
Equipment Calibration & QA Technical maintenance of MRI units to ensure image quality for Radiologist interpretation. |
1 | 15,000.00 | 15,000.00 |
Payment Instructions & Terms
Please remit payment to the following bank account within 14 days of the invoice date. This invoice covers professional services rendered by our team of certified Radiologists operating out of our Saint Petersburg facility. All medical interpretations comply with the regulations of the Ministry of Health of the Russian Federation.
Bank Name: Sberbank of Russia
Account Name: NeuroVision Diagnostics LLC
Account Number: 40702810900000001234
BIC: 044525225
Correspondent Account: 30101810400000000225
Important Note: Please include the Invoice Number (INV-SPB-2023-8842) in the payment reference to ensure proper allocation of funds. Failure to pay by the due date may result in a late fee of 0.1% per day on the outstanding balance. If you have any questions regarding the services provided by our Radiologist team, please contact our billing department immediately.
Thank you for your continued partnership with NeuroVision Diagnostics in Saint Petersburg, Russia. We are committed to providing the highest standard of radiological care and diagnostic accuracy.
Authorized Signature:
Alexei Volkov
Chief Financial Officer
NeuroVision Diagnostics
Medical Director Approval:
Dr. Elena Sokolova
Lead Radiologist
NeuroVision Diagnostics
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