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
3414 MIDCOURT RD STE 112, CARROLLTON, TX 75006-5092
(800) 638-3240
(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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689025116
—
CA
05
—
1689025116
—
MN
05
—
191102
—
AL
05
—
200675620B
—
OK
05
—
30005278470001
—
KS
05
—
3634727-01
—
TX
05
—
500782022
—
OR
05
—
5270351
—
MS
05
—
92727514
—
NM
Enumeration date
06/27/2016
Last updated
03/10/2026
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