To put it in very simple terms: when a flat sound travel over the air, reached our body, and recieved by our eardrum, it no longer stays perfectly flat due to diffusion and reflection (*a big part by our upper body and especially outer ears). However, we have evolved to hear such sound as 'flat'. When listening to headphone and especially IEM, such diffusion and reflection doesn't occur (or to a lesser degree), and so the frequency response of the headphone / IEM must compensate for it. That's why headphone / IEM's F.R. curve must not be flat - as a flat curve will sound very unnatural to us. Various studies by both headphone companies as well as academics over the years have aimed to develop their own "ideal curve" (*while plenty other headphone makers simply don't care). Etymotic is one of the very first among them, designing IEM that are meant to be sound as flat as possible to the human's ears.
So to answer your question: no, that FR curve you saw is not actually mid centric, nor required a V-shaped sounding source. It is in fact sounding flat to the human's ears.