Organization
KAN-DI-KI LLC
Active
Other names
DIAGNOSTIC LABORATORIES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN C CUOMO (CFO)
(800) 786-8015
Entity
Organization
Contact information
Practice address
3586 S 500 W, S SALT LAKE, UT 84115-4236
(801) 263-2159
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265744957
—
UT
01
—
P01005667
RAILROAD MEDICARE
UT
Enumeration date
07/09/2010
Last updated
03/12/2026
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