# KAN-DI-KI LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tridentcare, DIAGNOSTIC LABORATORIES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083926612
- **Authorized official:** BRIAN C CUOMO (AUTHORIZED OFFICIAL/CFO)
- **Authorized official phone:** (800) 786-8015

## Contact information

- **Practice address:** 17744 NE SAN RAFAEL ST, PORTLAND, OR 97230-5927
- **Practice address phone:** (800) 638-3240
- **Practice address fax:** (303) 576-7986
- **Mailing address:** 215 SCHILLING CIR STE 114, HUNT VALLEY, MD 21031-1113
- **Mailing address phone:** (800) 786-8015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | — |

## Other

- **Enumeration date:** 07/12/2010
- **Last updated:** 03/11/2026