Organization
KAN-DI-KI LLC
Active
Other names
DIAGNOSTIC LABORATORIES, TridentCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN C CUOMO (AUTHORIZED OFFICIAL/CFO)
(800) 786-8015
Entity
Organization
Contact information
Practice address
12612 RAYMER ST, NORTH HOLLYWOOD, CA 91605-4307
(818) 549-1880
(818) 333-7186
Mailing address
215 SCHILLING CIR STE 114, HUNT VALLEY, MD 21031-1113
(800) 786-8015
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
08/20/2010
Last updated
03/11/2026
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