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)
(800) 786-8015
Entity
Organization
Contact information
Practice address
7355 PRAIRIE FALCON RD, LAS VEGAS, NV 89128-0801
(702) 589-9795
(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
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811210289
—
NV
01
—
P00970024
RAILROAD MEDICARE
NV
Enumeration date
03/12/2010
Last updated
03/11/2026
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