# KAN-DI-KI, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** TridentCare, Diagnostic Laboratories
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548422488
- **Authorized official:** BRIAN C CUOMO (AUTHORIZED OFFICIAL/CFO)
- **Authorized official phone:** (007) 868-0158

## Contact information

- **Practice address:** 12612 RAYMER ST, NORTH HOLLYWOOD, CA 91605-4307
- **Practice address phone:** (818) 549-1880
- **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 |

## Other

- **Enumeration date:** 07/01/2008
- **Last updated:** 03/11/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | TG582 | MEDICARE/IDTF ULTRASOUND | CA |