Organization
NEW SCHRYVER LLC
Active
Other names
TridentCare, TridentCare Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN C CUOMO (AUTHORIZED OFFICIAL/CFO)
(800) 786-8015
Entity
Organization
Contact information
Practice address
12668 INTERURBAN AVE S, TUKWILA, WA 98168-3314
(303) 371-0073
(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
50D1088804
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006575
—
WA
05
—
500620752
—
OR
Enumeration date
10/17/2008
Last updated
03/11/2026
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