Provider Demographics
NPI:1629442280
Name:SCHRYVER MEDICAL SALES AND MARKETING, LLC
Entity Type:Organization
Organization Name:SCHRYVER MEDICAL SALES AND MARKETING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHRYVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-371-0073
Mailing Address - Street 1:12075 E 45TH AVE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-3123
Mailing Address - Country:US
Mailing Address - Phone:303-371-0073
Mailing Address - Fax:303-576-7986
Practice Address - Street 1:1845 N CASE ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92865-4234
Practice Address - Country:US
Practice Address - Phone:800-638-3240
Practice Address - Fax:303-576-7986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-19
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8917382293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory