Organization
KAN DI KI, LLC
Active
Other names
Diagnostic Laboratories, TridentCare
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN C CUOMO (AUTHORIZED OFFICIAL/CFO)
(007) 868-0158
Entity
Organization
Contact information
Practice address
3418 MIDCOURT RD STE 105, CARROLLTON, TX 75006-4944
(972) 468-3581
(443) 842-7264
Mailing address
215 SCHILLING CIR STE 114, HUNT VALLEY, MD 21031-1113
(800) 786-8015
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45D2028785
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2443461
—
LA
05
—
414224201
—
TX
01
—
P01099732
RAILROAD MEDICARE
TX
Enumeration date
09/13/2011
Last updated
03/11/2026
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