Mountain Valley Imaging of Eastern Utah LLC

Primary specialty

Diagnostic Neuroimaging (Radiology) PhysicianTaxonomy code 2085D0003X

License

3154161205 Issued in UT

Legal business name

MOUNTAIN VALLEY IMAGING OF EASTERN UTAH LLC

Practice address

150 W 100 N
Vernal, UT 84078-2036

Phone

(435) 789-3342

NPI assigned

May 30, 2007

Last updated

Dec 2, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jen Holdaway

Title

Billing Manager

Phone

(801) 916-3029

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David M Perry, MD

  • Diagnostic Radiology Physician
  • Vernal, UT
  • NPI 1912074352
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1346441946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95970",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950970",
            "telephone_number": "800-877-7081",
            "fax_number": "801-352-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 100 N",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782036",
            "telephone_number": "435-789-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VALLEY IMAGING OF EASTERN UTAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "HOLDAWAY",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "801-916-3029"
    },
    "taxonomies": [
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "UT",
            "license": "3154161205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dena Coltharp Moore
• Justin Morgan, DDS
• Thomas Jason Morrell, PHARM-D
• Terie Morris, MSN, FNP
• Wade Oliver Moulton, PHARM D
• Mountainlands Community Health Center Inc
• Mountainlands Community Health Center Inc (Mountainlands - Vernal Pharmacy)
• Mountainlands Community Health Center, Inc.
• Kameron Murray, LCSW
• Rita Murray, RBT

• Diagnostic Neuroimaging (Radiology) Physician in Vernal, UT
• Providers in Vernal, UT by specialty
• Diagnostic Neuroimaging (Radiology) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.