KAN-DI-KI, LLC (NPI# 1730455437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730455437 |
Entity Type | Organization |
Organization Name | KAN-DI-KI, LLC |
Other Organization Name | DIAGNOSTIC LABORATORIES |
Practice Address |
3000 E Seltice Way Ste 14 Post Falls ID 83854-5590 |
Mailing Address |
2820 N Ontario St Burbank CA 91504-2015 |
Practice Telephone | 2087144448 |
Practice Fax Number | 8777699729 |
Mailing Telephone | 8185491880 |
Enumeration Date | 2012-03-27 |
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 |
---|---|---|---|---|---|
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
Other Name | Type Code |
---|---|
Diagnostic Laboratories | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164845871 | Kan-di-ki, LLC | Clinical Medical Laboratory | 7330 Engineer Rd, Unit B, San Diego, CA 92111-1434 | 2014-01-31 |
1811210289 | Kan-di-ki, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7355 Prairie Falcon Rd, Las Vegas, NV 89128-0801 | 2010-03-12 |
1851613764 | Kan-di-ki, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2538 E University Dr Ste F-220, Phoenix, AZ 85034-6917 | 2010-02-18 |
1750364345 | Kan-di-ki, LLC | Clinical Medical Laboratory | 2820 N Ontario St, Burbank, CA 91504-2015 | 2005-11-28 |
1184930752 | Kan-di-ki, LLC | Radiology | 2820 N Ontario St, Burbank, CA 91504-2015 | 2010-08-20 |
1841514395 | Kan-di-ki, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 17744 Ne San Rafael St, Portland, OR 97230-5927 | 2010-03-25 |
1548422488 | Kan-di-ki, LLC | Radiology | 2820 N Ontario St, Suite 102, Burbank, CA 91504-2015 | 2008-07-01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | KAN-DI-KI, LLC | 930 Ridgebrook Rd, 3rd Floor, Sparks, MD 21152 |
Oklahoma Business Registrations | KAN-DI-KI, LLC | 2820 N Ontario St, Mission Viejo, CA 92675 |
Washington State Corporations | KAN-DI-KI, LLC | 930 Ridgebrook Rd # 3, Sparks Glenco, MD 21152-9481 |
Indiana Business Entities | KAN-DI-KI, LLC | 930 Ridgebrook Rd, 3rd Fl, Sparks Glencoe, MD 21152 |
Connecticut Business Registrations | KAN-DI-KI, LLC | 930 Ridgebrook Road, 3rd Fl, Sparks, MD 21152 |
Street Address |
3000 E SELTICE WAY STE 14 |
City | POST FALLS |
State | ID |
Zip Code | 83854-5590 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942566435 | Kan-di-ki LLC | Radiology | 3000 E Seltice Way Ste 14, Post Falls, ID 83854-5590 | 2012-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
1497376685 | Teresa Marie Ragan | Registered Nurse | 1551 E Mullan Ave Bldg A, Ste 200b, Post Falls, ID 83854 | 2020-04-29 |
1245792910 | Samantha Patricia Bourassa | Specialist/Technologist | 2832 E Poleline Ave, Post Falls, ID 83854 | 2019-04-02 |
1003392598 | Joshua Welz | Psychologist | 3211 N Guinness Ln Apt 201, Post Falls, ID 83854 | 2018-07-17 |
1639608094 | Anthony Leodis Walls Jr. | Specialist/Technologist | 8732 N Meyer Rd, Post Falls, ID 83854 | 2017-06-08 |
1831635911 | Glenda Felts | Social Worker | 8561 N Cloverleaf Rd, # 22, Hauser, ID 83854 | 2017-01-12 |
1144763467 | Rachel M. Pope | Behavioral Analyst | 204 E 1st Ave Apt 4, Post Falls, ID 83854 | 2016-11-18 |
1871960393 | Randy Robinson | Massage Therapist | 2525 E Seltice Way Ste C, Post Falls, ID 83854 | 2015-09-01 |
1194112375 | James Bailey | Family Medicine | 185 W 4th Ave Ste B, Post Falls, ID 83854 | 2015-04-24 |
1033534953 | Lauren Tandy | Speech-Language Pathologist | 398 S. Corbin Rd., Post Falls, ID 83854 | 2014-02-28 |
Find all providers in zip 83854 |
Taxonomy Code | 335V00000X |
Grouping | Suppliers |
Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992860324 | Bedside Xray Service Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1110 N Five Mile Rd, Boise, ID 83713-8034 | 2006-12-26 |
1528489044 | Quality Medical Imaging of Idaho Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1525 Addison Ave E, Suite A3, Twin Falls, ID 83301-5300 | 2013-12-31 |
1023439510 | Quality Medical Imaging of Idaho Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1525 Addison Ave E, Suite A3, Twin Falls, ID 83301-5300 | 2013-12-30 |
1104082221 | Schryver Medical Sales and Marketing, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2399 S Orchard St, 105, Boise, ID 83705-3793 | 2008-07-29 |
City | POST FALLS |
Zip Code | 83854 |
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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.