Invoice Radiologist in Spain Barcelona –Free Word Template Download with AI
Specialized Diagnostic Imaging Services
Carrer de Balmes, 150, 08008 Barcelona, Spain
Phone: +34 93 123 45 67 | Email: [email protected]
NIF (Tax ID): B-12345678
Collegiate Number: COL-CAT-RAD-9988
Invoice Number: INV-2023-10-045
Date of Issue: October 24, 2023
Due Date: November 24, 2023
Service Period: October 1, 2023 - October 20, 2023
BILL TO:
Hospital Clínic de Barcelona
Department of Diagnostic Imaging
Villarroel, 170, 08036 Barcelona, Spain
NIF: H-08000001
Attn: Dr. Maria Garcia, Head of Procurement
REMITTANCE INFORMATION:
Bank: Banco Santander, Spain
IBAN: ES91 2100 0418 4502 0005 1332
BIC/SWIFT: BSCHESMMXXX
Reference: INV-2023-10-045
| Item | Description of Radiological Services | Quantity | Unit Price (EUR) | Total (EUR) |
|---|---|---|---|---|
| 1 |
Consultation and Interpretation of MRI Brain with Contrast Detailed analysis performed by a senior Radiologist specializing in neuroradiology. Includes comprehensive written report delivered within 24 hours. Performed at our Barcelona facility using 3T Siemens Magnetom equipment. |
15 | 180.00 | 2,700.00 |
| 2 |
CT Scan Chest Abdomen Pelvis (CAP) Interpretation Urgent interpretation of computed tomography scans for oncological staging. Includes multi-planar reconstruction analysis and consultation with referring physicians. |
20 | 150.00 | 3,000.00 |
| 3 |
Mammography Screening and Diagnostic Assessment BI-RADS classification and reporting for digital mammography screenings. Includes consultation for suspicious findings and coordination for biopsy guidance if necessary. |
40 | 85.00 | 3,400.00 |
| 4 |
Ultrasound Abdominal and Pelvic Interpretation Real-time interpretation of sonographic images focusing on hepatobiliary and gynecological pathology. Includes Doppler flow analysis where indicated. |
30 | 95.00 | 2,850.00 |
| 5 |
Interventional Radiology Procedure: Biopsy Guidance Ultrasound-guided core needle biopsy of thyroid nodules. Includes local anesthesia administration, image guidance, and post-procedure monitoring. |
10 | 350.00 | 3,500.00 |
| 6 |
Second Opinion Radiological Review Expert review of complex cases involving rare pathologies. Includes tele-radiology consultation and detailed comparative analysis with previous imaging studies. |
5 | 200.00 | 1,000.00 |
Terms and Conditions & Legal Notes:
This Invoice represents the professional fees for radiological services rendered by licensed Radiologists in accordance with the regulations of the General Council of Radiology of Spain (CONR) and the College of Radiologists of Catalonia. All interpretations are based on the images provided and clinical history submitted at the time of examination.
Payment is due within 30 days from the date of issue. Late payments will incur interest at the legal rate established by the Spanish Law on Late Payment in Commercial Transactions. Please include the Invoice Number as the reference for all bank transfers.
Data Protection: In compliance with the General Data Protection Regulation (GDPR) and Spanish Organic Law 3/2018 (LOPDGDD), patient data processed during these services is handled with strict confidentiality and security measures.
For any queries regarding this Invoice or the radiological reports, please contact our billing department in Barcelona at the phone number or email listed above.
Authorized Signature:
Dr. Jordi PuigChief Radiologist
Barcelona Advanced Radiology Center ⬇️ Download as DOCX Edit online as DOCX
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