Compare Careers
Diagnostic and Imaging
February 10, 2025

How to Become a Rad Tech in North Carolina

Becoming a rad tech in North Carolina is a great way to combine hands-on patient care with cutting-edge technology, all while building a stable and rewarding health care career.
HealthJob Editors
Written by 
HealthJob Editors
HealthJob Editors
Reviewed by 
How to Become a Rad Tech in North Carolina

Radiologic technologists shape the future of diagnostic imaging in North Carolina through their expertise in capturing detailed images that guide critical medical decisions. Working with advanced technology and diverse patient populations, these professionals combine technical precision with compassionate care to support accurate diagnoses and treatment planning.

From bustling hospital emergency departments to specialized imaging centers across the state, rad techs collaborate with physicians, nurses, and other health care professionals to deliver essential diagnostic services. Their role demands both analytical thinking and interpersonal skills, making each day an opportunity to impact patient outcomes through precise imaging and careful attention to safety protocols.

Key Points

  • North Carolina employs approximately 7,370 radiologic technologists, according to the Bureau of Labor Statistics.
  • The field is projected to grow nationally by 6% between 2023 and 2033, creating thousands of opportunities annually.
  • ARRT certification is often required by employers in North Carolina, even though the state does not mandate licensure.
  • Mean annual salary for rad techs in North Carolina is $67,500, with an hourly mean wage of $32.45.
  • Responsibilities include positioning patients for imaging, operating diagnostic equipment, and ensuring radiation safety.

What is a Rad Tech?

Radiologic technologists are medical professionals who specialize in capturing diagnostic images of the body. These images assist physicians in diagnosing and treating conditions. The role involves operating advanced imaging equipment, maintaining patient safety, and following strict radiation guidelines.

Specializations within the field include computed tomography (CT), magnetic resonance imaging (MRI), and mammography. Each area requires expertise with specific imaging systems and techniques. Responsibilities may include adjusting imaging equipment to set exposure parameters or guiding patients through procedures to ensure comfort and accurate results.

Rad techs need strong technical skills, attention to detail, and the ability to communicate effectively. An understanding of anatomy, radiation safety, and imaging technology is critical for success.


Steps to Become a Rad Tech in North Carolina

Step 1: Earn a High School Diploma or GED

Graduating from high school or earning a GED is the first requirement. Students should focus on courses in biology, anatomy, physics, and math to build foundational knowledge. Many radiologic technology programs may also require prerequisites such as algebra or human anatomy before admission.

Step 2: Complete a Rad Tech Program

Enrolling in a Joint Review Committee on Education in Radiologic Technology (JRCERT)-accredited program is essential. Completing an accredited program ensures eligibility for the ARRT certification exam, which is a standard requirement for employment in North Carolina.

Educational Pathways

Most students earn an Associate of Applied Science (AAS) in Radiologic Technology. Programs combine classroom education with clinical rotations to provide both theoretical knowledge and hands-on experience.

Notable Accredited Programs in North Carolina

Program Structure

  • Classroom courses: Subjects like anatomy, imaging equipment operation, and radiation protection.
  • Clinical rotations: Training at facilities such as Duke University Medical Center or UNC Hospitals, where students gain practical experience.

Most programs take two years to complete, with shorter certificate options available for those with prior health care experience.

Step 3: Obtain ARRT Certification

Graduates of accredited programs must pass the American Registry of Radiologic Technologists (ARRT) certification exam.

Exam Overview

  • Subjects include imaging procedures, radiation safety, and patient care.
  • A scaled score of 75 is required to pass.
  • Testing is conducted at Pearson VUE centers, with locations in Raleigh, Wilmington, and Charlotte.

Passing the exam is followed by applying for ARRT credentials, which are needed to work as a rad tech in most facilities.

Step 4: Begin Clinical Work

After certification, entry-level rad techs typically begin working in hospitals, outpatient imaging centers, or private practices. General radiography is the most common entry point, though many technologists choose to specialize later in their careers.

Employers in North Carolina

  • Duke University Medical Center (Durham): Offers opportunities in advanced imaging departments.
  • UNC Health Care (Chapel Hill): Employs radiologic technologists across multiple facilities, including outpatient care centers.
  • Cone Health (Greensboro): Provides roles in diagnostic imaging with potential for professional growth.
  • Raleigh Radiology (Raleigh): A private group specializing in high-tech imaging solutions, including AI-assisted diagnostics.

Networking during clinical rotations often leads to full-time employment, especially at teaching hospitals like Duke or UNC.

Step 5: Pursue Advanced Certifications

Technologists can increase earning potential and expand career opportunities by obtaining advanced certifications through the ARRT.

Popular Specializations

  • Computed Tomography (CT): Focuses on capturing cross-sectional images.
  • Mammography: Specializes in breast imaging.
  • Magnetic Resonance Imaging (MRI): Requires expertise in MRI technology and safety.

Many facilities, such as Raleigh Radiology, prefer or require specialized certifications for roles in advanced imaging modalities.


Step 6: Maintain Certification

ARRT-certified technologists must meet continuing education requirements to maintain credentials.

Renewal Process

  1. Renew certification annually.
  2. Complete 24 continuing education (CE) credits every two years.
  3. Adhere to ARRT ethics and professional standards.

CE Resources in North Carolina

Ongoing education ensures technologists stay informed about advancements in imaging technology and safety regulations, with resources like those offered by NCSRT.


Licensure in North Carolina

North Carolina does not require rad techs to hold a state-issued license. However, ARRT certification is typically required by employers. Certification demonstrates competency in imaging procedures and patient care.

For more information, consult the North Carolina Department of Commerce – Boards & Commissions or review radiologic technician state licensing requirements.


Frequently Asked Questions

How long does it take to become a radiology tech in North Carolina?

Becoming a radiologic technologist typically takes two years. Most programs award an Associate of Applied Science degree, which is the entry-level requirement for certification.

Do rad techs in North Carolina need a state license?

North Carolina does not require a state license for radiologic technologists. Employers generally require ARRT certification, which ensures competency and adherence to national standards.

What is the difference between a radiologic technologist and a radiation therapist?

Radiologic technologists focus on diagnostic imaging, such as X-rays and MRIs, while radiation therapists deliver targeted radiation treatments to cancer patients. Both roles require certification but involve different responsibilities.

What are common challenges for radiologic technologists?

Rad techs may face challenges such as maintaining radiation safety, managing patient anxiety, and working in fast-paced environments. Proper training and communication skills help address these challenges effectively.

Can rad techs advance their careers in North Carolina?

Technologists can pursue leadership roles, advanced certifications, or specialized imaging fields to advance their careers. Options include computed tomography, MRI, and interventional radiography.

What are the benefits of working as a rad tech in North Carolina?

North Carolina offers competitive salaries, job opportunities at leading medical centers, and access to continuing education through organizations like NCSRT. Many facilities also provide opportunities to work with advanced imaging technologies.

Building Your Future in Medical Imaging

Working as a rad tech offers unique opportunities to blend technical expertise with patient care. The role allows you to master sophisticated imaging equipment while helping patients through important diagnostic procedures. North Carolina's prestigious medical centers and teaching hospitals provide environments where you can grow professionally while making meaningful contributions to patient outcomes.

Ready to start your journey? Research JRCERT-accredited programs in your area and connect with current rad techs to learn more about their experiences. Many programs offer campus tours and informational sessions where you can explore facilities, meet instructors, and understand the day-to-day realities of this rewarding career in health care.

Program outcomes may vary depending on each institution's specific curriculum and employment opportunities are not guranteed.