SUBMIT YOUR IMAGING CENTER

POSLUMA Imaging Center Directory Registration Form

To add your imaging center to the POSLUMA Imaging Center online directory, please complete the form below. Please note, it may take up to 5 business days for your request to be processed.

Location Details

*Required information.

Imaging Center Name*

(Note: This is how your imaging center will be displayed in the directory)

Select type of imaging center*

Hospital-based

Stand-alone imaging center

Has your facility completed Image Acquisition and Image Interpretation Training*

Yes

Address*

City*

State*

Zip Code*

Telephone*

Website
(Note: Must add http:// or https:// prior to URL)

Contact information

The following person confirms that they are authorized to submit this request on behalf of the above imaging center.

Contact name*

Email*

Add Another +

By submitting this form, I confirm that the above imaging center will be added to the POSLUMA.com Imaging Center Directory. At any time, the above imaging center can contact Blue Earth Diagnostics at info@blueearthdx.com to be removed from the directory.

SUBMIT YOUR IMAGING CENTER

POSLUMA Imaging Center Directory Registration Form

Location Details

IndicationImportant Safety Information

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Important Safety Information