CLEARVIEW MRI GRESHAM – NPI #1104875053
Physiological Laboratory

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.

CLEARVIEW MRI GRESHAM is a physiological laboratory located in GRESHAM, OR. NPPES has assigned the NPI number 1104875053 to CLEARVIEW MRI GRESHAM on May 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLEARVIEW MRI GRESHAM” is a dba name, the actual legal business name for this organization is MOUNTAINVIEW MRI LLC. The primary taxonomy selected by this provider is 293D00000X from the Health Care Provider Taxonomy code set, which is classified as Physiological Laboratory.

The NPI profile was previously updated about 3 years ago on Jan 18, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLEARVIEW MRI GRESHAM below.

NPI Profile for
MOUNTAINVIEW MRI LLC

NPI Number
1104875053
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOUNTAINVIEW MRI LLC
Doing Business As (dba): CLEARVIEW MRI GRESHAM
Primary location
24076 SE STARK ST
SUITE 180
GRESHAM, OR 97030-3373
Phone: (503) 661-6500 Fax: (503) 661-6005
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DARCY ORIN
MANAGING MEMBER
Phone: (503) 661-6500
Updated
Certification Date
Jan 18, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CLEARVIEW MRI GRESHAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOR240114
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
293D00000X
- Physiological Laboratory (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.