Kan-Di-Ki LLC
Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier in North Hollywood, California
1750364345- Practice location
- 12612 Raymer St, North Hollywood, CA 91605-4307
- Phone
- 818-549-1880
- Fax
- —
- Last updated
- August 19, 2026
Kan-Di-Ki LLC is a healthcare organization based in North Hollywood, CA. Kan-Di-Ki LLC practices in North Hollywood, CA. The NPI Number for Kan-Di-Ki LLC is 1750364345 and holds a License No. 205582 (CA). The current practice location address for Kan-Di-Ki LLC is 12612 Raymer St, North Hollywood, CA 91605-4307 and can be reached out via phone at 818-549-1880.
Provider Profile Details
- NPI Number
- 1750364345
- Provider Name
- Kan-Di-Ki LLC
- Provider Entity Type
- Organization
- Address
- 12612 Raymer St, North Hollywood, CA 91605-4307
- Phone Number
- 818-549-1880
- Primary Taxonomy
- Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier · 335V00000X
- Organization Subpart
- No
- Authorized Official
- Brian C Cuomo · Authorized Official/Cfo · 800-786-8015
- Other Names
- Diagnostic Laboratories (Doing Business As)
Tridentcare (Doing Business As) - Provider Enumeration Date
- November 28, 2005
- Last Update Date
- August 19, 2026
- Certification Date
- August 19, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12612 Raymer St
North Hollywood, CA 91605-4307 - City
- North Hollywood
- State
- California
- Zip
- 91605-4307
- Phone Number
- 818-549-1880
Provider Business Mailing Address Details
- Address
- 215 Schilling Cir Ste 114
Hunt Valley, MD 21031-1113 - City
- Hunt Valley
- State
- MD
- Zip
- 21031-1113
- Phone Number
- 800-786-8015
License Information
- License Number (1)
- 205582
- License State (1)
- CA
- Taxonomy (1)
- Clinical Medical Laboratory · 291U00000X
- Taxonomy (2)
- Clinical Medical Laboratory · 291U00000X
- License Number (3)
- 043518
- License State (3)
- CA
- Taxonomy (3)
- Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier · 335V00000X · Primary
- Taxonomy (4)
- Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier · 335V00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Portable X-Ray and/or Other Portable Diagnostic Imaging Suppliers near North Hollywood, CA
View all Portable X-Ray and/or Other Portable Diagnostic Imaging Suppliers in North Hollywood →Frequently Asked Questions
What is the NPI number of Kan-Di-Ki LLC?
The NPI number of Kan-Di-Ki LLC is 1750364345. It was assigned on November 28, 2005 and is currently active in the NPPES registry.
What is the specialty of Kan-Di-Ki LLC?
Kan-Di-Ki LLC is registered under the primary taxonomy Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (code 335V00000X), licensed in CA under license number 205582.
Where does Kan-Di-Ki LLC practice?
The practice location is 12612 Raymer St, North Hollywood, CA 91605-4307. The office can be reached at 818-549-1880 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1750364345 directly on the NPPES registry website.