KAN-DI-KI, LLC (NPI# 1811210289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811210289 |
| Entity Type | Organization |
| Organization Name | KAN-DI-KI, LLC |
| Other Organization Name | DIAGNOSTIC LABORATORIES |
| Practice Address |
7355 Prairie Falcon Rd Las Vegas NV 89128-0801 |
| Mailing Address |
2820 N. Ontario Street Burbank CA 91504-2015 |
| Practice Telephone | 7025899795 |
| Practice Fax Number | 7026553034 |
| Mailing Telephone | 8185491880 |
| Mailing Fax Number | 8183337186 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2017-01-05 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1811210289 | 05 | |
| NV | RAILROAD MEDICARE | P00970024 | 01 |
| 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 |
| 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 |
| 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 |
7355 PRAIRIE FALCON RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-0801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073859930 | Kan Di Ki, LLC | Clinical Medical Laboratory | 7355 Prairie Falcon Rd, Las Vegas, NV 89128-0801 | 2012-12-21 |
| 1700198330 | Kan Di Ki, LLC | Radiology | 7355 Prairie Falcon Rd, Las Vegas, NV 89128-0801 | 2010-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| 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 |
|---|---|---|---|---|
| 1619593621 | Ata Group Lv | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10170 W Tropicana Ave Ste 156-211, Las Vegas, NV 89147 | 2020-06-25 |
| 1740689470 | Direct Mobile Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3320 N Buffalo Dr Ste 202, Las Vegas, NV 89129-7411 | 2014-08-19 |
| 1609853555 | Mobile Radiology & Ekg of Nevada, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1050 E Flamingo Rd, Suite N-138 Box 110, Las Vegas, NV 89119-7427 | 2005-12-30 |
| 1104823368 | Quality Medical Imaging of Nevada LLC. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2490 Professional Ct, Suite 110, Las Vegas, NV 89128-0825 | 2005-07-02 |
| 1699399576 | Prestige Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2950 E Flamingo Rd Ste E, Las Vegas, NV 89121-5208 | 2020-06-05 |
| 1194373522 | Prestige Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2950 E Flamingo Rd Ste E, Las Vegas, NV 89121-5208 | 2019-08-28 |
| 1063890564 | Schryver Medical Sales and Marketing, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6000 S Eastern Ave, Suite 1-b, Las Vegas, NV 89119-3125 | 2015-05-15 |
| 1578972790 | Colmed Laboratories & Radiology, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6392 Mcleod Dr Ste 3, Las Vegas, NV 89120-4417 | 2014-08-13 |
| 1467610212 | Quality Medical Imaging of California, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2490 Professional Ct, Las Vegas, NV 89128-0835 | 2008-05-29 |
| 1396903191 | Quality Medical Imaging of California Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2490 Professional Ct, Las Vegas, NV 89128-0835 | 2008-05-28 |
| Find all providers in LAS VEGAS | ||||
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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.