Healthcare Provider Details

I. General information

NPI: 1093756157
Provider Name (Legal Business Name): NEW SCHRYVER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12075 E 45TH AVE STE 700
DENVER CO
80239-3123
US

IV. Provider business mailing address

930 RIDGEBROOK RD FL 3
SPARKS MD
21152-9481
US

V. Phone/Fax

Practice location:
  • Phone: 303-650-5400
  • Fax: 443-842-7264
Mailing address:
  • Phone: 800-786-8015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number02-74852-0000
License Number StateCO

VIII. Authorized Official

Name: BRIAN C CUOMO
Title or Position: AUTHORIZED OFFICIAL/CFO
Credential:
Phone: 800-786-8015