Active NPI
New Schryver LLC
- Physiological Laboratory
- Gresham, OR
National Provider Identifier
1982984084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- NEW SCHRYVER LLC
- Doing business as
- TridentCare Imaging
- Practice address
- 17744 NE San Rafael St
Gresham, OR 97230-5927 - Phone
- (303) 371-0073
- Fax
- (303) 785-9283
- NPI assigned
- Aug 19, 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
- Brian C Cuomo
- Title
- Cfo
- Phone
- (800) 786-8015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Primary |
Addresses
Primary practice location
17744 NE San Rafael St
Gresham, OR 97230-5927
Mailing address
215 Schilling Cir Ste 600
Hunt Valley, MD 21031-1108
Phone (800) 786-8015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982984084 | Medicaid | OR |
Other names 1
- TridentCare Imaging
National Provider Directory
National Provider DirectoryLocations
215 Schilling Cir
Ste 600
Hunt Valley, MD 21031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773273600000",
"number": "1982984084",
"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": "17744 NE SAN RAFAEL ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "972305927",
"telephone_number": "303-371-0073",
"fax_number": "303-785-9283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW SCHRYVER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-19",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A",
"authorized_official_last_name": "CUOMO",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "800-786-8015"
},
"taxonomies": [
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1982984084",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TridentCare Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gresham, OR
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.