Emergency Teleradiology Services for Northern Arizona VA Health Care System (NAVAHCS) and Phoenix VA Health Care System (PVAHCS)

The Department of Veterans Affairs is modifying the existing Indefinite Delivery Contract numbered 36C26226D0057 to add Nuclear Medicine teleradiology interpretation services as an available option under its framework, primarily to support the Phoenix VA Health Care System during a temporary gap in physician coverage from July 15, 2026, through August 19, 2026. This action is a sole-source modification justified under FAR 12.102(a), leveraging the incumbent contractor’s pre-established credentialing, secure integration with VA imaging systems, and existing infrastructure to ensure uninterrupted diagnostic services for STAT and urgent Nuclear Medicine studies. The estimated value of the immediate requirement is $35,325, with services to be delivered remotely following all applicable Current Procedural Terminology (CPT) codes for Nuclear Medicine imaging and integrated into VA-approved workflows. The place of performance is designated as Prescott, Arizona, with services supporting PVAHCS and potentially expanding to the Northern Arizona VA Health Care System during the contract term without additional solicitation, making this provision an expandable capability under the IDC structure. No competitive evaluation process was conducted due to the operational necessity and unique technical integration of the current provider, which precludes alternatives. No formal evaluation factors, contract clauses, or detailed specifications for packaging, inspection, or invoicing are included in the documentation, but the modification is administratively supported by Purchase Requisition 644-26-4-047-0779 and an acquisition plan identified as 36C262-26-AP-7506. Contract administration is managed through the Department of Veterans Affairs’ Network Contracting Office 22 located in Gilbert, Arizona, with Ramonalisa Aviles listed as the contracting officer. The contract does not include FOB terms, as the service is entirely digital, nor does it specify payment office details, accounting codes, or COR/COTR contacts. The contractor’s unique access to VA systems, established credentialing, and non-transferable technical capabilities form the basis of the sole-source award, with organizational conflict of interest concerns formally waived due to the critical need for continuity of care. Future ordering rights are embedded within the contract, allowing other VA facilities to request services under the same terms without re-solicitation, though no ceiling, maximum value, or option pricing beyond the base amount has been defined.