Organization
KAN-DI-KI LLC
Active
Parent organization
TRIDENTUSA HEALTH SERVICES, LLC
Other names
Diagnostic Laboratories, TridentCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIDENTUSA HEALTH SERVICES, LLC
Authorized official
BRIAN C CUOMO (AUTHORIZED OFFICIAL/CFO)
(800) 786-8015
Entity
Organization
Contact information
Practice address
7355 PRAIRIE FALCON RD, LAS VEGAS, NV 89128-0801
(702) 982-0533
(702) 982-0991
Mailing address
215 SCHILLING CIR STE 114, HUNT VALLEY, MD 21031-1113
(800) 786-8015
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
5562LIC-4
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073859930
—
NV
01
—
P01138750
RAILROAD MEDICARE
NV
Enumeration date
12/21/2012
Last updated
03/11/2026
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