MEDICARE: WELLSCAN IMAGING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	293D00000X	Physiological Laboratory
2	2471C3401X	Computed Tomography Radiologic Technologist	R26024	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00320397	OTHER	TX	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	218DC	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1275687428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLSCAN IMAGING LLC

Provider Business Mailing Address
First Line	:	5030 N 10TH ST
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2832
Country	:	US
Telephone Number	:	956-668-0702
Fax Number	:	956-682-6108

Provider Business Practice Location Address
First Line	:	5030 NORTH 10TH ST.
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-2832
Country	:	US
Telephone Number	:	956-668-0702
Fax Number	:	956-682-6108

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. LEE ALEXANDER VALENCIA
Credential	:
Telephone Number	:	956-668-0702

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	11/06/2025

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Directions to “WELLSCAN IMAGING LLC ” Practice Location

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