KAN-DI-KI LLC (NPI# 1417241365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417241365 |
| Entity Type | Organization |
| Organization Name | KAN-DI-KI LLC |
| Other Organization Name | DIAGNOSTIC LABORATORIES |
| Practice Address |
3230 E. Broadway Road Suite 100 Phoenix AZ 85040-2874 |
| Mailing Address |
2820 N Ontario St Burbank CA 91504-2015 |
| Practice Telephone | 4809672281 |
| Practice Fax Number | 4809670306 |
| Mailing Telephone | 8185491880 |
| Mailing Fax Number | 8183337234 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2017-01-26 |
| 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 |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 03D2024612 | AZ | Laboratories |
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | CLIA | 03D2024612 | 01 |
| AZ | 619775 | 05 | |
| AZ | RAILROAD MEDICARE | P01126484 | 01 |
| Other Name | Type Code |
|---|---|
| Diagnostic Laboratories | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407164064 | Kan-di-ki LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2501 Yale Blvd Se Ste 201, Albuquerque, NM 87106-4200 | 2010-09-16 |
| 1275856643 | Kan-di-ki LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1135 Terminal Way, Reno, NV 89502 | 2010-03-12 |
| 1619116761 | Kan-di-ki LLC | Clinical Medical Laboratory | 10936 Bigge St, San Leandro, CA 94577-0015 | 2009-02-12 |
| 1942566435 | Kan-di-ki LLC | Radiology | 3000 E Seltice Way Ste 14, Post Falls, ID 83854-5590 | 2012-04-09 |
| 1316242381 | Kan-di-ki LLC | Radiology | 2501 Yale Blvd Se Ste 201, Albuquerque, NM 87106-4200 | 2011-01-21 |
| 1992017529 | Kan-di-ki LLC | Radiology | 2538 E University Dr Ste F-220, Phoenix, AZ 85034-6917 | 2010-07-12 |
| 1205158110 | Kan-di-ki LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1020 N Country Club Rd, Tucson, AZ 85716-4239 | 2010-02-18 |
| 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 |
| 1316109267 | Kan-di-ki LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2820 N Ontario St, Burbank, CA 91504-2015 | 2008-07-01 |
| 1225290174 | Kan-di-ki LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2820 N Ontario St, Burbank, CA 91504-2015 | 2008-07-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Kan-Di-Ki LLC | 930 Ridgebrook Rd 3rd Floor, Sparks, Maryland 21152 |
| Street Address |
3230 E. BROADWAY ROAD SUITE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85040-2874 |
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| 1083164149 | K & C Ventures LLC | Day Training, Developmentally Disabled Services | 4013 E Broadway Road, Phoenix, AZ 85040 | 2016-10-12 |
| 1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
| 1679947238 | Garcia's Assisted Living Home LLC | Custodial Care Facility | 2742 E Pueblo Avenue, Phoenix, AZ 85040 | 2015-11-19 |
| 1578956280 | Ashley Elizabeth Church | Physical Therapist | 5750 S. 32nd St, Phoenix, AZ 85040 | 2015-03-05 |
| 1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
| 1275708505 | Jennifer Louise Koslo | Nutritionist | 5633 South 42nd Street, Phoenix, AZ 85040 | 2008-04-28 |
| 1639200017 | Kevin Wayne Jones | Specialist/Technologist | 5621 S. 24th Street, Jones Concrete Construction LLC, Phoenix, AZ 85040 | 2007-03-08 |
| 1861529109 | Jayesh C Patel | Dentist | 522 East Southern Ave, Phoenix, AZ 85040 | 2007-02-27 |
| Find all providers in zip 85040 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| Find all providers in PHOENIX | ||||
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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.