Tridentcare Imaging

LBN: New Schryver Llc
Tridentcare Imaging is an health care organization with primary practice located at 17744 Ne San Rafael St , Gresham OR 97230-5927. The organization recently has only one registered license in Laboratories / Physiological Laboratory, which is considered as 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
17744 Ne San Rafael St Gresham OR 97230-5927
Phone: (303) 371-0073
Fax: (303) 785-9283
Website:
Map and Directions
Authorized official contact:
Name: Fletcher, Shawna
Phone: (303) 307-2081

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1982984084
LBN Legal business name New Schryver Llc
DBA Doing business as Tridentcare Imaging
Authorized official Fletcher, Shawna
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2011
Last updated Mar 2nd, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982984084 NPPES
Oregon MEDICAID 1982984084

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