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

7355 Prairie Falcon Rd
Las Vegas, NV 89128-0801

Phone

(702) 589-9795

Fax

(443) 842-7264

NPI assigned

Jul 12, 2010

Last updated

Mar 11, 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

Brian C Cuomo

Title

Authorized Official/Cfo

Phone

(800) 786-8015

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• DIAGNOSTIC LABORATORIES Doing business as
• TridentCare Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Kan-Di-Ki, LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Las Vegas, NV
  • NPI 1811210289

  5991737140

  Same PAC ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Diagnostic Ultrasound Physician
  • Portland, OR
  • NPI 1083926612

  5991737140

  Same PAC ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Clinical Medical Laboratory
  • Irvine, CA
  • NPI 1093697757

  5991737140

  Same PAC ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Denver, CO
  • NPI 1104128859

  5991737140

  Same PAC ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Tukwila, WA
  • NPI 1124340039

  5991737140

  Same PAC ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Diagnostic Ultrasound Physician
  • Tukwila, WA
  • NPI 1407151475

  5991737140

  Same PAC ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • North Hollywood, CA
  • NPI 1750364345

  5991737140

  Same PAC ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Diagnostic Ultrasound Physician
  • Denver, CO
  • NPI 1871898841

  5991737140

  Same PAC ID
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Diagnostic Ultrasound Physician
  • Phoenix, AZ
  • NPI 1992017529

  5991737140

  Same PAC ID
• Kan-Di-Ki, LLC

  dba Diagnostic Laboratories

  • Diagnostic Ultrasound Physician
  • North Hollywood, CA
  • NPI 1548422488

  5991737140

  Same PAC ID
• Kan-Di-Ki, LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Portland, OR
  • NPI 1841514395

  5991737140

  Same PAC ID
• Kan-Di-Ki, LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Phoenix, AZ
  • NPI 1851613764

  5991737140

  Same PAC ID

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
  • Reno, NV
  • NPI 1275856643
  NPD tax ID
• Kan-Di-Ki, LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Las Vegas, NV
  • NPI 1811210289
  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

  • Clinical Medical Laboratory
  • Irvine, CA
  • NPI 1093697757
  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

  • 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
  • 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 and Radiology, TridentCare, TridentCare Imaging, TridentCare at Home

  • Clinical Medical Laboratory
  • San Leandro, CA
  • NPI 1851283436
  NPD tax ID

Practitioners 26

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.

• Steven J Adler, MD

  • Diagnostic Ultrasound Physician
  • Seattle, WA
  • NPI 1639108046
  NPD
• Marc T. Awobuluyi, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
  • NPI 1962512145
  NPD
• David Herschel Berns, MD

  • Diagnostic Radiology Physician
  • Beachwood, OH
  • NPI 1518924737
  NPD
• Reono Bertagnolli, MD

  • Diagnostic Radiology Physician
  • Mooresville, NC
  • NPI 1558352948
  NPD
• Lawrence P Bogle, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1467403238
  NPD
• Lillian Whitley Cavin, MD

  • Diagnostic Radiology Physician
  • Spicewood, TX
  • NPI 1952363913
  NPD
• James Ivan Collins, MD

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1366429383
  NPD
• Frank M. Fayz, M.D.

  • Diagnostic Radiology Physician
  • Rockford, IL
  • NPI 1104856145
  NPD
• Joseph Freedman, M.D., MBA

  • Cardiovascular Disease Physician
  • Cape Coral, FL
  • NPI 1801061890
  NPD
• Michael Hinz, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1780619155
  NPD
• Benjamin Tai-Yuen Huang, M.D.

  • Diagnostic Radiology Physician
  • La Habra, CA
  • NPI 1548289416
  NPD
• Santiago Jimenez, M.D.

  • Diagnostic Radiology Physician
  • Melbourne, FL
  • NPI 1073595740
  NPD

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1700198330",
    "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": "7355 PRAIRIE FALCON RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280801",
            "telephone_number": "702-589-9795",
            "fax_number": "443-842-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAN-DI-KI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-12",
        "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": "800-786-8015"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01099718",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIAGNOSTIC LABORATORIES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TridentCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fatina Kamou
• Patricia Kampa
• Kamran Khan MD PC
• Manijeh Kamyar, MD
• Kan-Di-Ki LLC (Diagnostic Laboratories)
• Kan-Di-Ki, LLC (Diagnostic Laboratories)
• Casey Lynn Kanarek
• Rita Kanater
• Arpineh Kandaharian
• Kandell Home Health Care LLC (Kandell Essential Care & Community Triage Center)

• Diagnostic Ultrasound Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Diagnostic Ultrasound Physician in Nevada

• 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.

Verify at the official NPI Registry.