Kan Di Ki, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

06D2028302 Issued in CO

Legal business name

KAN DI KI, LLC

Doing business as

Diagnostic Laboratories
TridentCare

Practice address

15201 E Moncrieff PL
Unit G
Aurora, CO 80011-1261

Phone

(303) 367-4042

Fax

(303) 340-0212

NPI assigned

Sep 13, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brian C Cuomo

Title

Cfo

Phone

(800) 786-8015

Specialties & licenses 1

Addresses

Other names 2

• Diagnostic Laboratories Doing business as
• TridentCare Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1083996300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SCHILLING CIR STE 114",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311113",
            "telephone_number": "800-786-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 E MONCRIEFF PL",
            "address_2": "UNIT G",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800111261",
            "telephone_number": "303-367-4042",
            "fax_number": "303-340-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAN DI KI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "CUOMO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "800-786-8015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CO",
            "license": "06D2028302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Laboratories",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diagnostic Laboratories",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TridentCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lizabeth Kaminoff
• Ryan Kammeyer, MD
• Dana J. Kamp, CRNA
• Julianne Kamp
• Dean Kamuchey, D.C.
• Susan K. Kanai, P.T.
• Amy Suzanne Kanallakan, M.D.
• Lynn Kanan, RN
• Blake Kandah, M.D.
• Christopher Brendan Kane, RBT

• Clinical Medical Laboratory in Aurora, CO
• Providers in Aurora, CO by specialty
• Clinical Medical Laboratory in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.