Kan-Di-Ki LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

KAN-DI-KI LLC

Doing business as

Diagnostic Laboratories

Practice address

15200 Stagg St
Van Nuys, CA 91405-1056

Phone

(800) 786-8015

NPI assigned

Jul 1, 2008

Last updated

Mar 12, 2026By the provider in NPPES

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 2

Addresses

Other names 1

• Diagnostic Laboratories Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316109267. Details of each certification follow.

• CCN 05X0009811 Portable X-ray supplier · Active · Name & address match · Details

Portable X-ray supplier certification: CCN 05X0009811

Legal name

DIAGNOSTIC LABORATORIES

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Jul 1, 1971

Last certification

Apr 29, 2022

Ownership / control type

Corporation

Facility address

15200 Stagg St
Van Nuys, CA 91405

Tax ID family

Diagnostic Xray17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Clinical Medical Laboratory
  • Irvine, CA
  • NPI 1093697757
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Diagnostic Ultrasound Physician
  • North Hollywood, CA
  • NPI 1184930752
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • North Hollywood, CA
  • NPI 1225290174
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories and Radiology, TridentCare, TridentCare Imaging, TridentCare at Home

  • Clinical Medical Laboratory
  • San Leandro, CA
  • NPI 1851283436
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories and Radiology

  • Clinical Medical Laboratory
  • West Sacramento, CA
  • NPI 1972446565
  NPD tax ID
• Kan Di Ki, LLC

  dba Diagnostic Laboratories

  • Diagnostic Ultrasound Physician
  • Federal Way, WA
  • NPI 1447562079
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Tukwila, WA
  • NPI 1124340039
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Phoenix, AZ
  • NPI 1205158110
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Reno, NV
  • NPI 1275856643
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Diagnostic Ultrasound Physician
  • Albuquerque, NM
  • NPI 1316242381
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Albuquerque, NM
  • NPI 1407164064
  NPD tax ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Diagnostic Ultrasound Physician
  • Las Vegas, NV
  • NPI 1700198330
  NPD tax ID

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1316109267",
    "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": "15200 STAGG ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914051056",
            "telephone_number": "800-786-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAN-DI-KI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "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": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "CA",
            "license": "043518",
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "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"
        }
    ]
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.