Organization
KAN DI KI, LLC
Active
Other names
DIAGNOSTIC LABORATORIES, TridentCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN C CUOMO (CFO)
(800) 786-8015
Entity
Organization
Contact information
Practice address
33710 9TH AVE S, SUITE 8, FEDERAL WAY, WA 98003-6734
(253) 838-1612
(253) 815-8851
Mailing address
2820 N ONTARIO ST, BURBANK, CA 91504-2015
(818) 549-1880
(818) 333-7186
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
07/12/2010
Last updated
03/12/2026
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