Organization
SCY IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN CURTIS YELDELL (PRESIDENT)
(979) 695-9729
Entity
Organization
Contact information
Practice address
2722 OSLER BLVD, BRYAN, TX 77802-2517
(979) 695-9729
(800) 695-6382
Mailing address
PO BOX 21, LYONS, TX 77863-0021
(979) 695-9729
(800) 695-6382
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
R24941
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109541602
—
TX
01
—
459884
BLUE CROSS BLUE SHIELD
TX
01
—
630001470
RAILROAD MEDICARE
TX
Enumeration date
03/26/2007
Last updated
04/05/2010
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