KAN-DI-KI, LLC


Address: 2820 N Ontario St, Burbank, CA 91504-2015
Phone: 8185491880

KAN-DI-KI, LLC (NPI# 1750364345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750364345
Entity Type Organization
Organization Name KAN-DI-KI, LLC
Other Organization Name DIAGNOSTIC LABORATORIES
Practice Address 2820 N Ontario St
Burbank
CA 91504-2015
Practice Telephone 8185491880
Practice Fax Number 8183337234
Mailing Telephone 8185491880
Mailing Fax Number 8183337234
Enumeration Date 2005-11-28
Last Update Date 2017-01-26
Authorized Official Name MR. DAVID VELEZ (EXECUTIVE VP)
Authorized Official Telephone 8009400389
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 291U00000X Clinical Medical Laboratory 205582 CA Laboratories
N 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 043518 CA Suppliers
N 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Suppliers
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
CA ZZZ59811Z 05
CA LAB79751F 05
CA XR059811F 05
CA ZZZ31268Z 05
CA CLIA NUMBER 05D0679751 01

Other Provider/Organization Names

Other Name Type Code
Diagnostic Laboratories Doing Business As Name - Organization

Other Provider IDs and Locations

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
1730455437 Kan-di-ki, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 3000 E Seltice Way Ste 14, Post Falls, ID 83854-5590 2012-03-27
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
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

Other Data Sources

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

Office Location

Street Address 2820 N ONTARIO ST
City BURBANK
State CA
Zip Code 91504-2015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134424005 Reono Bertagnolli A Medical Group Radiology 2820 N Ontario St, Burbank, CA 91504-2015 2011-01-24
1184930752 Kan-di-ki, LLC Radiology 2820 N Ontario St, Burbank, CA 91504-2015 2010-08-20
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
1548422488 Kan-di-ki, LLC Radiology 2820 N Ontario St, Suite 102, 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
1114943446 Norman Robert Silverman Radiology 2820 N Ontario St, Burbank, CA 91504-2015 2006-07-13
1730118910 Biopath Rad Holdings LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 2820 N Ontario St, Burbank, CA 91504-2015 2006-07-01
1235168402 Biopath Lab Holding LLC Clinical Medical Laboratory 2820 N Ontario St, Burbank, CA 91504-2015 2006-07-01

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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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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City BURBANK
Zip Code 91504

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Dataset Information

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.

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