Organization
KAN-DI-KI LLC
Active
Organization
KAN-DI-KI LLC
Active
Other names
Diagnostic Laboratories, TridentCare
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CUOMO (CFO)
(800) 786-8015
Entity
Organization
Contact information
Practice address
175 TECHNOLOGY DR STE 100, IRVINE, CA 92618-2473
(657) 297-0320
(602) 343-5856
Mailing address
215 SCHILLING CIR STE 114, HUNT VALLEY, MD 21031-1113
(443) 662-4101
(602) 343-5856
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093697757
—
CA
Enumeration date
07/23/2025
Last updated
08/14/2026
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