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Diagnostic
Imaging
Registration

Practice Details
The Location Specific Practice Number is a unique six-digit number given to practices by Medicare Australia when they register diagnostic imaging equipment.
⚠ This field is required.
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A non-radiology imaging service includes all items in Group I1, I3, and I4 in the Diagnostic Imaging Services Table (DIST) of the Medicare Benefits Schedule (MBS).
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⚠ Corporate group name is required.
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⚠ Expiry date is required.
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⚠ Sector name is required.
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Accreditation Contact Details
Prefix
First Name
⚠ First name is required.
Last Name
⚠ Last name is required.
⚠ This field is required.
⚠ A valid phone number is required.
⚠ A valid email address is required.
Page 1 of 7
Practice Contact Details
⚠ Practice name is required.
⚠ ABN is required.
⚠ Phone number is required.
⚠ Email address is required.
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Practice Address
Address Line 1 Address Line 2
City
State
Postcode
⚠ Street address, city, state and postcode are required.
Practice postal address
Address Line 1 Address Line 2
City
State
Postcode
⚠ Postal address fields are required.
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Modalities & Services
0 modalities selected
⚠ Please select at least one modality.
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Standards Level
QIP Diagnostic Imaging Registration Fees
  • Entry Level — Providers registering for the first time are assessed against 3 of the 15 DIAS standards and upon completion, granted two years of accreditation.
  • Full Suite — Assesses all 15 DIAS standards and upon completion grants four years of accreditation. Required before Entry Level expires.
Practice DescriptionEntry Level (inc GST)Full Suite (inc GST)
Single Modality$590$1,765
2–3 Modalities$975$2,925
4–6 Modalities$1,155$3,470
7–9 Modalities$1,635$4,900

Large comprehensive service sites please contact QIP.

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Submission & Authorisation
QIP Diagnostic Imaging Registration Fee
A$ 0.00

Authorisation *

⚠ You must confirm your authorisation.

Terms and Conditions *

⚠ You must accept the terms and conditions.

Confirmation *

⚠ You must confirm this statement.
Use your mouse or finger to draw your signature above
⚠ A signature is required.
First Name
⚠ First name is required.
Last Name
⚠ Last name is required.
⚠ Please complete all required fields, checkboxes, and signature before submitting.
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✓
Registration Submitted!

Thank you for submitting your Diagnostic Imaging Accreditation Registration. A confirmation email has been sent to your nominated contact address. A QIP Client Liaison Officer will be in touch shortly.

Reference No: