Active NPI
New Schryver LLC
- Physiological Laboratory
- Tukwila, WA
National Provider Identifier
1659669430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- NEW SCHRYVER LLC
- Doing business as
- TridentCare
TridentCare Imaging
TridentCare Laboratory - 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2070049 | Medicaid | WA |
Other names 4
- TridentCare
- TridentCare Imaging
- TridentCare Laboratory
- TridentCare at Home
National Provider Directory
National Provider DirectoryNPI 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.