Active NPI
Kan-Di-Ki LLC
Doing business as Diagnostic Laboratories
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Tukwila, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- KAN-DI-KI LLC
- Doing business as
- Diagnostic Laboratories
TridentCare - Practice address
- 1134 Industry Dr
Tukwila, WA 98188-4803 - Phone
- (253) 838-1612
- Fax
- (253) 815-8851
- NPI assigned
- Feb 18, 2010
- Last updated
- Mar 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian C Cuomo
- Title
- Authorized Official/Cfo
- Phone
- (007) 868-0158
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | NU | Primary |
Addresses
Primary practice location
1134 Industry Dr
Tukwila, WA 98188-4803
Mailing address
215 Schilling Cir Ste 114
Hunt Valley, MD 21031-1113
Phone (800) 786-8015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124340039 | Medicaid | WA |
Other names 2
- Diagnostic Laboratories
- TridentCare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100527000020 | WA | Part B Supplier - Portable X-Ray Supplier | 5991737140 |
Receives reassigned benefits from 24 practitioners Practice locations: Tukwila, WA |
Other NPIs with the same Medicare PAC ID 12
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Diagnostic Laboratories
- Diagnostic Ultrasound Physician
- Tukwila, WA
- NPI 1407151475
5991737140
-
dba Diagnostic Laboratories
- Diagnostic Ultrasound Physician
- Portland, OR
- NPI 1083926612
5991737140
-
dba Diagnostic Laboratories
- Clinical Medical Laboratory
- Irvine, CA
- NPI 1093697757
5991737140
-
dba Diagnostic Laboratories
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Denver, CO
- NPI 1104128859
5991737140
-
dba Diagnostic Laboratories
- Diagnostic Ultrasound Physician
- Las Vegas, NV
- NPI 1700198330
5991737140
-
dba Diagnostic Laboratories
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- North Hollywood, CA
- NPI 1750364345
5991737140
-
dba Diagnostic Laboratories
- Diagnostic Ultrasound Physician
- Denver, CO
- NPI 1871898841
5991737140
-
dba Diagnostic Laboratories
- Diagnostic Ultrasound Physician
- Phoenix, AZ
- NPI 1992017529
5991737140
-
dba Diagnostic Laboratories
- Diagnostic Ultrasound Physician
- North Hollywood, CA
- NPI 1548422488
5991737140
-
dba Diagnostic Laboratories
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Las Vegas, NV
- NPI 1811210289
5991737140
-
dba Diagnostic Laboratories
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Portland, OR
- NPI 1841514395
5991737140
-
dba Diagnostic Laboratories
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Phoenix, AZ
- NPI 1851613764
5991737140
National Provider Directory
National Provider Directory- Tax ID family
- Kan Di Ki LLC
Other organizations with this tax ID 16
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Diagnostic Laboratories
- Diagnostic Ultrasound Physician
- Federal Way, WA
- NPI 1447562079
-
dba Diagnostic Laboratories
- Diagnostic Ultrasound Physician
- North Hollywood, CA
- NPI 1184930752
-
dba Diagnostic Laboratories
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Phoenix, AZ
- NPI 1205158110
-
dba Diagnostic Laboratories
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- North Hollywood, CA
- NPI 1225290174
-
dba Diagnostic Laboratories
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Reno, NV
- NPI 1275856643
-
dba Diagnostic Laboratories
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Van Nuys, CA
- NPI 1316109267
-
dba Diagnostic Laboratories
- Diagnostic Ultrasound Physician
- Albuquerque, NM
- NPI 1316242381
-
dba Diagnostic Laboratories
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Albuquerque, NM
- NPI 1407164064
-
dba Diagnostic Laboratories
- Diagnostic Ultrasound Physician
- Las Vegas, NV
- NPI 1700198330
-
dba Diagnostic Laboratories and Radiology, TridentCare, TridentCare Imaging, TridentCare at Home
- Clinical Medical Laboratory
- San Leandro, CA
- NPI 1851283436
Locations
1134 Industry Dr
Tukwila, WA 98188
Phone (206) 466-1478
Practitioners & affiliated clinicians
Practitioners 24
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1447691266
-
- Diagnostic Ultrasound Physician
- Seattle, WA
- NPI 1639108046
-
- Diagnostic Radiology Physician
- Joint Base Lewis McChord, WA
- NPI 1497092159
-
- Cardiovascular Disease Physician
- Tacoma, WA
- NPI 1245640515
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1194705558
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1295359909
-
- Cardiovascular Disease Physician
- Spokane Valley, WA
- NPI 1346265881
-
- Clinical Cardiac Electrophysiology Physician
- Spokane, WA
- NPI 1952315186
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1366612301
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1356387120
-
- Body Imaging Physician
- Tacoma, WA
- NPI 1437337458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773187200000",
"number": "1124340039",
"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": "1134 INDUSTRY DR",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981884803",
"telephone_number": "253-838-1612",
"fax_number": "253-815-8851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAN-DI-KI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-18",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A",
"authorized_official_last_name": "CUOMO",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL/CFO",
"authorized_official_telephone_number": "007-868-0158"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124340039",
"state": "WA"
}
],
"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"
}
]
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.