Organization
NEW SCHRYVER LLC
Active
Other names
TridentCare
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN C CUOMO (AUTHORIZED OFFICIAL/CFO)
(800) 786-8015
Entity
Organization
Contact information
Practice address
12075 E 45TH AVE STE 700, DENVER, CO 80239-3123
(303) 650-5400
(443) 842-7264
Mailing address
215 SCHILLING CIR STE 114, HUNT VALLEY, MD 21031-1113
(800) 786-8015
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
02-74852-0000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03302593
—
MS
05
—
1002864
—
UT
05
—
1093756157
—
ID
05
—
1093756157
—
NV
05
—
12470503
—
NM
05
—
191102
—
AL
05
—
19238223
—
CO
05
—
2002205
—
WA
05
—
200675620B
—
OK
05
—
212862079
—
AR
05
—
390073001
—
TX
05
—
500605496
—
OR
01
—
604940
BLUE CROSS
CO
05
—
610709
—
AZ
01
—
690009163
RAILROAD MEDICARE
CO
Enumeration date
06/09/2006
Last updated
03/11/2026
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