Organization Active NPI

New Schryver LLC

  • Physiological Laboratory
  • Gresham, OR
National Provider Identifier
1982984084
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 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

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
Brian C Cuomo
Title
Cfo
Phone
(800) 786-8015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1982984084MedicaidOR

Other names 1

  • TridentCare Imaging Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.