KAN-DI-KI, LLC (NPI# 1851613764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851613764 |
Entity Type | Organization |
Organization Name | KAN-DI-KI, LLC |
Other Organization Name | DIAGNOSTIC LABORATORIES |
Practice Address |
2538 E University Dr Ste F-220 Phoenix AZ 85034-6917 |
Mailing Address |
2820 N Ontario St Burbank CA 91504-2015 |
Practice Telephone | 6028643656 |
Practice Fax Number | 6028643660 |
Mailing Telephone | 8185491880 |
Enumeration Date | 2010-02-18 |
Last Update Date | 2020-03-17 |
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 |
---|---|---|---|
AZ | RAILROAD MEDICARE | P00970026 | 01 |
AZ | 573748 | 05 |
Other Name | Type Code |
---|---|
Diagnostic Laboratories | Doing Business As Name - Organization |
TridentCare | 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 |
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 |
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 |
2538 E UNIVERSITY DR STE F-220 |
City | PHOENIX |
State | AZ |
Zip Code | 85034-6917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992017529 | Kan-di-ki LLC | Radiology | 2538 E University Dr Ste F-220, Phoenix, AZ 85034-6917 | 2010-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093208340 | Curtis James Bierscheid | Physical Therapist | 1828 E Sky Harbor Circle North, Building 2, Suite 150, Phoenix, AZ 85034 | 2018-06-12 |
1437654969 | Genoa Healthcare, LLC | Pharmacy | 1035 E Jefferson St Ste P1, Phoenix, AZ 85034 | 2018-03-27 |
1659871697 | Us Careways-phx | Clinic/Center | 3800 E Sky Harbor Blvd, Phoenix, AZ 85034 | 2018-02-16 |
1053854638 | Josiah Nnadozie Nwaokwa | Nurse Practitioner | 1035 E Jefferson Street, La Frontera -empact Spc, Phoenix, AZ 85034 | 2016-11-30 |
1568869915 | Lacee Johnson | Speech-Language Pathologist | 5025 E Washington Street, Suite 212, Phoenix, AZ 85034 | 2014-12-01 |
1679974406 | Jagdeep Bains | Pharmacist | 5324 E Washington St, #a, Phoenix, AZ 85034 | 2014-09-11 |
1275885030 | Nancy Louise Brewer | Nurse Practitioner | 3800 E Sky Harbor Blvd Fl T4, Phoenix, AZ 85034 | 2012-10-03 |
1386928414 | The Facts of Life Grouphome, Inc | Community/Behavioral Health | 1122 E. Buckeye Road, Phoenix, AZ 85034 | 2011-10-07 |
1649559832 | Us Medgroup Pa | Clinic/Center | 901 East Jefferson St, Phoenix, AZ 85034 | 2011-08-05 |
1689979106 | Latanya King | Counselor | 1122 East Buckeye Road, Suite B-1, Phoenix, AZ 85034 | 2011-01-13 |
Find all providers in zip 85034 |
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 |
---|---|---|---|---|
1952536609 | Team Motion X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7000 N 16th St # 120-459, Phoenix, AZ 85020-5547 | 2009-05-26 |
1992742548 | Schryver Medical Sales and Marketing LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5050 S 40th St, Phoenix, AZ 85040-2902 | 2006-06-01 |
1588647432 | Portable Xray of Arizona Phoenix | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2338 W. Royal Palm Ave, Suite A, Phoenix, AZ 85029 | 2005-11-23 |
1811144959 | Bakorp, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 615 E Palo Verde Dr, Phoenix, AZ 85012-1331 | 2008-08-20 |
1356349666 | Arizona Portable Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2011 W Mulberry Dr, Phoenix, AZ 85015-5720 | 2005-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164037255 | Sonography Solutions LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2311 Prairie Grass Dr, Sierra Vista, AZ 85635-7002 | 2020-09-15 |
1033683750 | Dmc Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 55 Lake Havasu Ave S Ste F142, Lake Havasu City, AZ 86403-0938 | 2019-01-15 |
1053813337 | Arizona Ultrasound Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5620 W Thunderbird Rd Ste C1, Glendale, AZ 85306-4639 | 2018-03-02 |
1487188025 | Select Consultants LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 745 E Raven Way, Gilbert, AZ 85297-1211 | 2017-04-19 |
1598219289 | Diagnostic Ultrasound Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3931 N Stockton Hill Rd Ste E, Kingman, AZ 86409-2426 | 2016-08-10 |
1659658169 | Radiexcel, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3060 S Nash Way, Chandler, AZ 85286-2482 | 2011-11-11 |
1194041988 | Arizona Mobile Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2655 W Guadalupe Rd Ste 31b, Mesa, AZ 85202-7245 | 2010-04-19 |
1396988200 | Portable Diagnostic Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5534 W Riviera Dr, Glendale, AZ 85304-2700 | 2009-04-08 |
1285873810 | Professional Portable Radiologic Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9132 West Cactus Rd, Suite D, Peoria, AZ 85381-5131 | 2009-02-04 |
1679722615 | Simply Mobile X-ray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3661 W 12th Ln, Yuma, AZ 85364-9107 | 2008-09-15 |
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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.