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
12612 RAYMER ST, NORTH HOLLYWOOD, CA 91605-4307
(818) 549-1880
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
01
—
TG582
MEDICARE/IDTF ULTRASOUND
CA
Enumeration date
07/01/2008
Last updated
03/11/2026
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