P Praxis·MD
● Active Type 2 · Organization

Mountain Valley Imaging Llc

Radiology·Rexburg, ID· NPI 1578789525 · Enumerated 2007 · 19 years on NPI
Mountain Valley Imaging Llc is 1 of 248 radiology organizations in Idaho.
NPI age
19 years
Enumerated 2007-04-18
Primary specialty
Radiology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hansen
Owner
Last NPPES update
2008-05-06
Source: monthly bulk 2026-05

How this organization compares

Across 248 active radiology providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
450 E Main St
Rexburg, ID 834402048
📞 2083596508fax 2083563066
Mailing address
Po Box 31, 450 East Main
Rexburg, ID 834400031
📞 2083596508fax 2083563066

Authorized official

David Victor Hansen, M.D.
Owner
📞 2083596508

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    taxonomy 2085R0202X

Identifiers

TypeValueNotes
05 (WY) 1156471-00
01 (ID) 71910 BLUE CROSS

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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