Mountainview MRI LLC
NPI 1104875053ActiveOrganization· Physiological Laboratory· Gresham, OR
Physiological Laboratory in Gresham, Oregon, registered in NPPES in May 2006. The authorized official on file is Darcy E. Orin, Managing Member. Medicare paid $15,863 for services to 84 patients in 2024.
Overview
| NPI | 1104875053 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 9, 2006 |
| Last updated in NPPES | Jan 18, 2023 |
| Certified by provider | Jan 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 84 |
|---|---|
| Services billed | 1,911 across 20 procedure codes |
| Paid by Medicare | $15,863 |
Other Physiological Laboratory providers in Gresham
- 1982984084