MOUNTAIN VALLEY IMAGING LLC NPI 1578789525

NPI Information

  • NPI: 1578789525
  • Provider Name: MOUNTAIN VALLEY IMAGING LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 450 E MAIN ST
    REXBURG, ID
    ZIP 83440
  • Phone: (208) 359-6508

Map and Directions

Get Directions

NPI Details

MOUNTAIN VALLEY IMAGING LLC is a diagnostic radiology radiology in Rexburg, ID. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MOUNTAIN VALLEY IMAGING LLC NPI is 1578789525. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

450 E MAIN ST
REXBURG, ID
ZIP 83440-048
Phone: (208) 359-6508
Fax: (208) 356-3066

The provider's authorized official is David Victor Hansen .
The authorized official title is Owner and has the following contact phone number (208) 359-6508.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 5/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11375264MEDICARE ID-TYPE UNSPECIFIEDMEDICARE
21156471-00MEDICAIDWYOMING
371910OTHERIDAHOBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI