KAN DI KI, LLC (NPI# 1407151475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407151475 |
| Entity Type | Organization |
| Organization Name | KAN DI KI, LLC |
| Other Organization Name | DIAGNOSTIC LABORATORIES |
| Practice Address |
12668 Interurban Ave S Tukwila WA 98168-3314 |
| Mailing Address |
930 Ridgebrook Rd Fl 3 Sparks MD 21152-9481 |
| Practice Telephone | 2064661478 |
| Practice Fax Number | 4104721754 |
| Mailing Telephone | 8007868015 |
| Mailing Fax Number | 4104721754 |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2019-02-15 |
| Authorized Official Name | MR. DAVID VELEZ (EXECUTIVE VP) |
| Authorized Official Telephone | 8009400389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1407151475 | 05 | |
| WA | RAILROAD MEDICARE | P01005633 | 01 |
| Other Name | Type Code |
|---|---|
| Diagnostic Laboratories | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568744886 | Kan Di Ki, LLC | Clinical Medical Laboratory | 3414 Midcourt Rd, Suite 112, Carrollton, TX 75006-4945 | 2011-09-13 |
| 1104128859 | Kan Di Ki, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11585 E 53rd Ave Ste H, Denver, CO 80239-2321 | 2010-12-01 |
| 1265744957 | Kan Di Ki, LLC | Radiology | 3586 S 500 W, S Salt Lake, UT 84115-4236 | 2010-07-09 |
| 1073859930 | Kan Di Ki, LLC | Clinical Medical Laboratory | 7355 Prairie Falcon Rd, Las Vegas, NV 89128-0801 | 2012-12-21 |
| 1083996300 | Kan Di Ki, LLC | Clinical Medical Laboratory | 15201 E Moncrieff Pl, Unit G, Aurora, CO 80011-1261 | 2011-09-13 |
| 1700198330 | Kan Di Ki, LLC | Radiology | 7355 Prairie Falcon Rd, Las Vegas, NV 89128-0801 | 2010-07-12 |
| 1083926612 | Kan Di Ki, LLC | Radiology | 17744 Ne San Rafael St, Portland, OR 97230-5927 | 2010-07-12 |
| 1447562079 | Kan Di Ki, LLC | Radiology | 33710 9th Ave S, Suite 8, Federal Way, WA 98003-6734 | 2010-07-12 |
| Street Address |
12668 INTERURBAN AVE S |
| City | TUKWILA |
| State | WA |
| Zip Code | 98168-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659523967 | New Schryver LLC | Clinical Medical Laboratory | 12668 Interurban Ave S, Tukwila, WA 98168-3314 | 2008-10-17 |
| 1750652558 | Schryver Medical Sales and Marketing, LLC | Durable Medical Equipment & Medical Supplies | 12668 Interurban Ave S, Tukwila, WA 98168-3314 | 2012-01-25 |
| 1659669430 | New Schryver LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 12668 Interurban Ave S, Tukwila, WA 98168-3314 | 2011-07-14 |
| 1124340039 | Kan-di-ki LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 12668 Interurban Ave S, Tukwila, WA 98168-3314 | 2010-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080469 | Tanveer Singh Buttar | Dentist | 13955 57th Ave S, Tukwila, WA 98168 | 2020-10-14 |
| 1952878746 | Maria Sherisse Santos-nichol | Nurse Practitioner | 13610 1st Ave South, Burien, WA 98168 | 2018-10-30 |
| 1790292084 | Shizuno Wynkoop | Behavioral Analyst | 10827 3rd Ave S, Seattle, WA 98168 | 2018-01-08 |
| 1043766751 | Il-jea Bahk | Pharmacist | 14300 First Ave S, Burien, WA 98168 | 2016-09-01 |
| 1255705968 | Rachel Gumkowski | Massage Therapist | 14121 Tukwila Intl Blvd, Tukwila, WA 98168 | 2015-11-18 |
| 1639597651 | Ivy Walker | Point of Service | 2225 S 112th St Apt C309, Seattle, WA 98168 | 2014-04-07 |
| 1841615713 | Silbee Sanchez | Massage Therapist | 13028 Interurban Ave. S, Suite 106, Tukwila, WA 98168 | 2014-02-28 |
| 1932459237 | Navos Mental Health | Case Management | 1010 S. 146th Street, Seattle, WA 98168 | 2012-09-13 |
| 1215206313 | Healthpoint | Clinic/Center | 13030 Military Road S, Suite 200, Tukwila, WA 98168 | 2011-12-19 |
| 1861787020 | Jonathan Richard Chenoweth | Student in an Organized Health Care Education/Training Program | 12400 E Marginal Way S, Amb-2, Tukwila, WA 98168 | 2011-06-16 |
| Find all providers in zip 98168 | ||||
| Taxonomy Code | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953113 | Darryn Hiroshi Matsushima | Radiology | 105 167th Pl Sw, Bothell, WA 98012-5967 | 2020-05-14 |
| 1730709924 | Valerie Marie Mann | Radiology | 5811 Saddle Creek Ln, Pasco, WA 99301-8006 | 2020-04-17 |
| 1700385135 | Brett Hoopes | Radiology | 1122 N 77th St, Seattle, WA 98103-4808 | 2018-02-12 |
| 1750569208 | Radiology Consultants of The Lower Valley | Radiology | 10 and Tacoma, Sunnyside, WA 98944-3022 | 2008-02-07 |
| 1346332392 | Mobile Radiology & Imag | Radiology | 861 Poplar Pl S, Seattle, WA 98144-2827 | 2006-09-28 |
| 1851498109 | Kevin J. Case | Radiology | 1135 - 116th Ave Ne #320, Obstetrix, Bellevue, WA 98004 | 2006-09-20 |
| 1376189829 | Molly Marie Pedraza | Radiology | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2019-11-20 |
| 1215594833 | Natalia Vladinova | Radiology | 9040 Jackson Ave Attn: Mchj-clq-c, Tacoma, WA 98431-0001 | 2019-05-20 |
| 1255849527 | Judith M Hennech | Radiology | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2018-01-19 |
| 1073035846 | Nirbir Sandhu | Radiology | 114 W Magnolia St Ste 505, Bellingham, WA 98225-4369 | 2017-07-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.