Organization Active NPI

New Schryver LLC

  • Physiological Laboratory
  • Tukwila, WA
National Provider Identifier
1659669430
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
NEW SCHRYVER LLC
Doing business as
TridentCare
TridentCare Imaging
TridentCare Laboratory1 more in Other names
Practice address
12668 Interurban Ave S
Tukwila, WA 98168-3314
Phone
(303) 371-0073
NPI assigned
Jul 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tina Bradley
Title
Sr Pe Coordinator
Phone
(267) 965-8855

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Addresses

Primary practice location

12668 Interurban Ave S
Tukwila, WA 98168-3314

Mailing address

215 Schilling Cir Ste 600
Hunt Valley, MD 21031-1108
Phone (800) 786-8015

Other identifiers 1

IdentifierTypeStateIssuer
2070049MedicaidWA

Other names 4

  • TridentCare Doing business as
  • TridentCare Imaging Doing business as
  • TridentCare Laboratory Doing business as
  • TridentCare at Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1659669430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SCHILLING CIR STE 600",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311108",
            "telephone_number": "800-786-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12668 INTERURBAN AVE S",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683314",
            "telephone_number": "303-371-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SCHRYVER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "SR PE COORDINATOR",
        "authorized_official_telephone_number": "267-965-8855"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2070049",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TridentCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TridentCare Imaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TridentCare Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TridentCare at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.