Virtual supervision · Facility-set standard

Site Hours of Supervision
Physicians & Radiologists
Median Response Time
Missed Reactions
Three hours each way for a scan you could do locally.
A patient in Winner or Eagle Butte who cannot get a contrast study at the local facility is looking at a six-hour round trip. West River counties and reservation communities face travel distances and physician shortages that make local imaging capacity consequential in a way it simply is not elsewhere. Tether supplies credentialed South Dakota-licensed physicians across every operating hour so those studies happen where the patient lives.
What changes when coverage is never the question
Stop rescheduling contrast patients
Grow volume without growing payroll
Technologists who walk in ready
Audit-ready without the paperwork
Live in weeks, not quarters
From first call to first supervised scan
Step one — the twenty-minute call
We scope your sites, modalities, operating hours, and current coverage. You get a straight answer on what your program looks like and what it costs, usually before we hang up.
Step two — we prepare your center
Hardware deployment, physician credentialing and state licensure, technologist training, reaction kit placement, and your supervision documentation. Setup is our job, not yours.
Step three — one button, seconds to a physician
Your technologist presses once and reaches a credentialed physician. Sessions document themselves. You get monthly QA summaries and a partner watching your state's rules.
Serving imaging centers across South Dakota

Sioux Falls
Rapid City
Aberdeen
Brookings
Watertown
Mitchell
Yankton
Pierre
Huron
Spearfish
the Sioux Falls area, the Black Hills, West River, the Missouri River corridor, and reservation communities
Where South Dakota stands
South Dakota requires diagnostic radiation exposure upon the direction of a licensed practitioner and imposes no physical presence requirement. State regulation directs each facility to maintain a policy manual governing its radiological services.
Nearby states
Important note
This page is provided for general informational purposes and does not constitute legal advice. Supervision requirements vary by facility type, license category, modality, and payer and accreditation requirements, and they change over time. Facilities should confirm applicable requirements with their own counsel.
Is virtual contrast supervision allowed in South Dakota?
How fast does a Tether physician actually respond?
Do we need clinical staff on site in South Dakota?
How quickly can we go live in South Dakota?
Do you cover imaging centers outside Sioux Falls?
What do we get besides the supervision itself?
Twenty minutes to a contrast program that holds
Book a twenty-minute call. We will scope your sites and operating hours and tell you exactly what your program looks like, what it costs, and how fast you can be live. Most facilities are running within weeks. Call +1 (832) 974-0401 or email info@tethersupervision.com.