Active NPI
Midvalley Imaging Center, LLC
- Diagnostic Radiology Physician
- Basalt, CO
National Provider Identifier
1003774522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MIDVALLEY IMAGING CENTER, LLC
- Practice address
- 1460 East Valley Road
Suite 102
Basalt, CO 81621 - Phone
- (970) 544-1260
- NPI assigned
- Jan 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Brain
- Title
- Cfo
- Phone
- (970) 544-1220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1460 East Valley Road
Suite 102
Basalt, CO 81621
Mailing address
401 Castle Creek Road
Compliance Office
Aspen, CO 81611-1159
Phone (970) 544-1551
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774483200000",
"number": "1003774522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 CASTLE CREEK ROAD",
"address_2": "COMPLIANCE OFFICE",
"city": "ASPEN",
"state": "CO",
"postal_code": "816111159",
"telephone_number": "970-544-1551",
"fax_number": "970-544-7698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 EAST VALLEY ROAD",
"address_2": "SUITE 102",
"city": "BASALT",
"state": "CO",
"postal_code": "81621",
"telephone_number": "970-544-1260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDVALLEY IMAGING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-13",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A",
"authorized_official_last_name": "BRAIN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "970-544-1220"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Basalt, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.