Healthcare Provider Details

I. General information

NPI: 1295849537
Provider Name (Legal Business Name): SCHRYVER MEDICAL SALES AND MARKETING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 09/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6840 BROADWAY UNITS A-I
DENVER CO
80221-2863
US

IV. Provider business mailing address

12075 E 45TH AVE SUITE 600
DENVER CO
80239-3123
US

V. Phone/Fax

Practice location:
  • Phone: 303-650-5400
  • Fax: 303-650-1881
Mailing address:
  • Phone: 303-371-0073
  • Fax: 303-785-9326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number02748520000
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number02748520000
License Number StateCO

VIII. Authorized Official

Name: MR. MARK RICHARD SCHRYVER
Title or Position: OWNER CEO
Credential:
Phone: 303-371-0073