Kan Di Ki, LLC

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

KAN DI KI, LLC

Doing business as

Diagnostic Laboratories
TridentCare

Practice address

33710 9TH Ave S
Suite 8
Federal Way, WA 98003-6734

Phone

(253) 838-1612

Fax

(253) 815-8851

NPI assigned

Jul 12, 2010

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 1

Addresses

Other names 2

• DIAGNOSTIC LABORATORIES Doing business as
• TridentCare Doing business as

Tax ID family

Kan Di Ki LLC17 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

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Tukwila, WA
  • NPI 1124340039
  NPD tax ID
• 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
  • Phoenix, AZ
  • NPI 1205158110
  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

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

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Van Nuys, CA
  • NPI 1316109267
  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
• 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

  • Diagnostic Ultrasound Physician
  • Denver, CO
  • NPI 1871898841
  NPD tax ID

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1447562079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 N ONTARIO ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042015",
            "telephone_number": "818-549-1880",
            "fax_number": "818-333-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33710 9TH AVE S",
            "address_2": "SUITE 8",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036734",
            "telephone_number": "253-838-1612",
            "fax_number": "253-815-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAN DI KI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "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": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "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"
        },
        {
            "organization_name": "TridentCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Irene Wambui Kamau
• Margaret Kambich, LPN
• Bonnie S Kaminski, RDH
• Rawewan Kampanth-Fadness III
• Daniel Kamran, DDS
• Stacy Reed Kanda, DDS
• Sangu Kande
• Kang DDS & Suzuki DMD Ms El PLLC (Puget Sound Periodontics)
• Kang DDS & Suzuki DMD Ms FW PLLC (Puget Sound Periodontics)
• Hyo Jung Kang, L. AC., O.M.D.

• Diagnostic Ultrasound Physician in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Diagnostic Ultrasound Physician in Washington

• 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.