CLEARVIEW MRI GRESHAM
NPI 1104875053
Physiological Laboratory in Gresham, OR

Q: What is Mountainview Mri LLC's NPI number?

The NPI number for Mountainview Mri LLC is 1104875053. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is doing business as Clearview Mri Gresham.

Q: What is Mountainview Mri LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

Active since May 09, 2006

24076 SE STARK ST, SUITE 180, GRESHAM, OR 97030(503) 661-6500(503) 661-6005 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Clearview Mri Gresham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEARVIEW MRI GRESHAM (NPI 1104875053) is a healthcare organization registered as a physiological laboratory in Gresham, Oregon and active in the NPI registry since May 2006. The organization lists Darcy E. Orin, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1104875053

Entity TypeOrganization

Primary Taxonomy293D00000X

Legal Business NameMOUNTAINVIEW MRI LLC

Location Address24076 SE STARK ST, SUITE 180Gresham, OR 97030-3373

Mailing Address24076 Se Stark St, Suite 180Gresham, OR 97030-3373 · (503) 661-6500 · Fax (503) 661-6005

Phone(503) 661-6500

Fax(503) 661-6005

Organization SubpartNo

Authorized OfficialDarcy E. OrinManaging Member · (503) 661-6500

Enumeration DateMay 9, 2006

Last NPPES UpdateJanuary 18, 2023

NPPES CertifiedJanuary 18, 2023

✔ NPI 1104875053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysiological LaboratoryLaboratories

Taxonomy Code293D00000X

Definition

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

24076 SE STARK ST, Gresham, OR 97030

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Other Names 1

Doing Business AsClearview Mri Gresham

Other Identifiers 1

Medicaid240114OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clearview Mri Gresham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateOregonEnrollment IDO20060731000242Non-DME Part B · Independent Diagnostic Testing Facility (IDTF)Due dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

27 services26 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

19 services19 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

18 services17 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STARK STREET PLAZA, LLC

Clinic/Center (Ambulatory Surgical)

24076 SE STARK ST, SUITE 310
GRESHAM, OR 97030

Multnomah County (503) 492-6510

CENTER FOR MENS AND WOMENS UROLOGY LLC

Specialist

24076 SE STARK ST, SUITE 310
GRESHAM, OR 97030

Multnomah County (503) 492-6510

MR. CLEM GEORGE EISCHEN JR. PT

Physical Therapist

24076 SE STARK ST
GRESHAM, OR 97030

Multnomah County (503) 491-1666

GRESHAM PROFESSIONAL PHARMACY

Pharmacy (Community/Retail Pharmacy)

24076 SE STARK ST, SUITE 100
GRESHAM, OR 97030

Multnomah County (503) 491-0117

DR. BOBAK AMIR GHAHERI M.D.

Otolaryngology

24076 SE STARK ST, SUITE 230
GRESHAM, OR 97030

Multnomah County (503) 488-2600

ANNA LEE PAC

Physician Assistant

24076 SE STARK ST, SUITE 230
GRESHAM, OR 97030

Multnomah County (503) 488-2600

GREGORY GULLO MD PC

Anesthesiology (Pain Medicine)

24076 SE STARK ST, SUITE 320
GRESHAM, OR 97030

Multnomah County (503) 512-1212

GLEN A MILLIGAN M.D.

Specialist

24076 SE STARK ST, SUITE 230
GRESHAM, OR 97030

Multnomah County (503) 465-5461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountainview Mri LLC's NPI number?

The NPI number for Mountainview Mri LLC is 1104875053. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is doing business as Clearview Mri Gresham.

Where is Mountainview Mri LLC located?

Mountainview Mri LLC is located at 24076 SE Stark St Suite 180, Gresham, OR 97030. The listed phone number is (503) 661-6500.

What is Mountainview Mri LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

Is Mountainview Mri LLC enrolled in Medicare?

Yes. Mountainview Mri LLC is registered in the Medicare PECOS enrollment system.

When is Mountainview Mri LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oregon, Independent Diagnostic Testing Facility (IDTF)) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Mountainview Mri LLC accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Mountainview Mri LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountainview Mri LLC was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.