Midvalley Imaging Center, LLC
Radiology, Diagnostic Radiology in Basalt, CO. Organization (NPI-2).
NPI number1003774522
StatusActive
Last updated in NPPESMar 26, 2026
Details
- NPI
- 1003774522
- Entity type
- Organization (NPI-2)
- Legal business name
- Midvalley Imaging Center, LLC
- Organization subpart
- No
- Enumeration date
- Jan 13, 2026
- Certification date
- Mar 26, 2026
- Last updated
- Mar 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Practice location
1460 East Valley RoadSuite 102
Basalt, CO 81621
Phone 970-544-1260
Mailing address
401 Castle Creek RoadCompliance Office
Aspen, CO 81611-1159
Phone 970-544-1551 · Fax 970-544-7698
Authorized official
David Brain
Cfo
9705441220
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