Organization
KAN-DI-KI LLC
Active
Other names
TridentCare, Diagnostic Laboratories
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN C CUOMO (AUTHORIZED OFFICIAL/CFO)
(007) 868-0158
Entity
Organization
Contact information
Practice address
1134 INDUSTRY DR, TUKWILA, WA 98188-4803
(253) 838-1612
(253) 815-8851
Mailing address
215 SCHILLING CIR STE 114, HUNT VALLEY, MD 21031-1113
(800) 786-8015
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124340039
—
WA
Enumeration date
02/18/2010
Last updated
03/11/2026
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