Mountainview MRI LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MOUNTAINVIEW MRI LLC

Doing business as

Clearview MRI Gresham

Practice address

24076 SE Stark St
Suite 180
Gresham, OR 97030-3373

Phone

(503) 661-6500

Fax

(503) 661-6005

NPI assigned

May 9, 2006

Last updated

Jan 18, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Darcy E. Orin

Title

Managing Member

Phone

(503) 661-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clearview MRI Gresham Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Suzanne Thurmond, MD

  • Diagnostic Radiology Physician
  • Lake Oswego, OR
  • NPI 1487729281
  NPD
• Lisa Ona Ballehr, D.O.

  • Diagnostic Radiology Physician
  • Brentwood, TN
  • NPI 1417996018
  NPD
• Purvak Patel, M.D.

  • Diagnostic Radiology Physician
  • Wichita Falls, TX
  • NPI 1528293842
  NPD
• Prashant Vijay Shankar, MD

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1134353378
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1104875053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24076 SE STARK ST",
            "address_2": "SUITE 180",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303373",
            "telephone_number": "503-661-6500",
            "fax_number": "503-661-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24076 SE STARK ST",
            "address_2": "SUITE 180",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303373",
            "telephone_number": "503-661-6500",
            "fax_number": "503-661-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINVIEW MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "ORIN",
        "authorized_official_first_name": "DARCY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "503-661-6500"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240114",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearview MRI Gresham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigale Anne Mortensen
• Sherwin H. Moscow, MA
• Kristina Petrovna Motyko
• Soua Ly Moua
• Mountain View Hearing Aid Center
• Kathleen A. Mounts, LCSW
• Moving Boundaries, Inc
• Mt Hood Women's Health PC
• Mt. Hood Adult Day Center LLC
• Mt. Hood Vision Center, LLC

• Physiological Laboratory in Gresham, OR
• Providers in Gresham, OR by specialty
• Physiological Laboratory in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.