Organization
MIDVALLEY IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BRAIN (CFO)
(970) 544-1140
Entity
Organization
Contact information
Practice address
1460 E VALLEY RD STE 102, BASALT, CO 81621-8412
(970) 544-1551
(970) 544-7698
Mailing address
1450 E VALLEY RD UNIT 201, BASALT, CO 81621-8352
(970) 927-8611
(970) 927-8633
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
COB4270
—
CO
Enumeration date
02/14/2008
Last updated
03/27/2026
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