Tridentcare Laboratory
LBN: New Schryver Llc
Tridentcare Laboratory is an health care organization with primary practice located at 12668 Interurban Ave S , Tukwila WA 98168-3314. The organization recently has 2 registered licenses in different health care specialties including Laboratories / Physiological Laboratory, Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier. Laboratories / Physiological Laboratory is the primary health care specialty.
New Schryver Llc can be contacted via phone (303) 371-0073, or through Fletcher, Shawna via phone (303) 307-2081.
Contact Information
Primary practice address
12668 Interurban Ave S
Tukwila WA 98168-3314
Phone: (303) 371-0073
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Physiological Laboratory | 293D00000X | ||
| Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X |
Profile Details
| NPI number | 1659669430 |
|---|---|
| LBN Legal business name | New Schryver Llc |
| DBA Doing business as | Tridentcare Laboratory |
| Authorized official | Fletcher, Shawna |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 14th, 2011 |
| Last updated | Mar 4th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659669430 | NPPES |
| Washington | MEDICAID | 2070049 |
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