KAN-DI-KI, LLC


Address: 2538 E University Dr Ste F-220, Phoenix, AZ 85034-6917
Phone: 6028643656

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
AZ RAILROAD MEDICARE P00970026 01
AZ 573748 05

Other Provider/Organization Names

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

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 2538 E UNIVERSITY DR STE F-220
City PHOENIX
State AZ
Zip Code 85034-6917

Providers in the same location

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

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NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 335V00000X
Grouping Suppliers
Classification Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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
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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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Competitor

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City PHOENIX
Zip Code 85034

Improve Information

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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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