NEW SCHRYVER LLC (NPI# 1982984084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982984084 |
| Entity Type | Organization |
| Organization Name | NEW SCHRYVER LLC |
| Other Organization Name | TRIDENTCARE IMAGING |
| Practice Address |
17744 Ne San Rafael St Gresham OR 97230-5927 |
| Mailing Address |
12075 E 45th Ave Suite 600 Denver CO 80239-3123 |
| Practice Telephone | 3033710073 |
| Practice Fax Number | 3037859283 |
| Mailing Telephone | 3033710073 |
| Mailing Fax Number | 3037859283 |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | SHAWNA FLETCHER (PROVIDER RELATIONS COORDINATOR) |
| Authorized Official Telephone | 3033072081 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 1982984084 | 05 |
| Other Name | Type Code |
|---|---|
| TridentCare Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689025116 | New Schryver LLC | Clinical Medical Laboratory | 3414 Midcourt Rd Ste 112, Carrollton, TX 75006-5092 | 2016-06-27 |
| 1659523967 | New Schryver LLC | Clinical Medical Laboratory | 12668 Interurban Ave S, Tukwila, WA 98168-3314 | 2008-10-17 |
| 1659669430 | New Schryver LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 12668 Interurban Ave S, Tukwila, WA 98168-3314 | 2011-07-14 |
| 1093756157 | New Schryver LLC | Clinical Medical Laboratory | 12075 E 45th Ave, Suite 700, Denver, CO 80239-3136 | 2006-06-09 |
| 1730127283 | New Schryver LLC | Durable Medical Equipment & Medical Supplies | 11585 E 53rd Ave, Unit H, Denver, CO 80239-3136 | 2006-06-04 |
| Street Address |
17744 NE SAN RAFAEL ST |
| City | GRESHAM |
| State | OR |
| Zip Code | 97230-5927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225232408 | Schryver Medical Sales and Marketing, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 17744 Ne San Rafael St, Gresham, OR 97230-5927 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104875053 | Mountainview Mri LLC | Physiological Laboratory | 24076 Se Stark St, Suite 180, Gresham, OR 97030-3373 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891213591 | Kevin Hoffman | Physiological Laboratory | 1001 Sw Emkay Dr, Bend, OR 97702-3663 | 2017-09-01 |
| 1801314620 | Trivek Health Solutions, Inc | Physiological Laboratory | 1001 Sw Emkay Dr Ste 100, Bend, OR 97702-3663 | 2017-08-31 |
| 1467881706 | Centersource Corporation | Physiological Laboratory | 2988 Nw Fairway Heights Dr, Bend, OR 97703-8334 | 2013-11-07 |
| 1295075125 | Clearview Mri LLC | Physiological Laboratory | 17885 Nw Evergreen Parkway, Suite 100, Beaverton, OR 97006 | 2013-03-01 |
| 1467601989 | Sleep Right Diagnostics LLC | Physiological Laboratory | 1023 Rio Glen Dr, Eugene, OR 97401-7803 | 2008-09-09 |
| 1891876546 | South Coast Radiologists | Physiological Laboratory | 2650 N 17th St, Coos Bay, OR 97420-2134 | 2006-10-18 |
| 1366985483 | Braincare, LLC | Physiological Laboratory | 111 Sw 5th Ave, Ste 3150 (unit 3142), Portland, OR 97204-3604 | 2016-11-21 |
| 1225306889 | Synergy Medical Systems, LLC | Physiological Laboratory | 2650 Suzanne Way, Suite 130, Eugene, OR 97408-7319 | 2011-12-09 |
| 1902090103 | Enhanced Medical Imaging of Coos Bay LLC | Physiological Laboratory | 2650 N 17th St, Coos Bay, OR 97420-2134 | 2007-08-30 |
| 1538107941 | Bridgeport Mri LLC | Physiological Laboratory | 15755 Sw Sequoia Pkwy, Suite 100, Tigard, OR 97224-7166 | 2006-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.