KAN-DI-KI LLC (NPI# 1942566435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942566435 |
| 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 | 2012-04-09 |
| 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 | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Diagnostic Laboratories | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417241365 | Kan-di-ki LLC | Clinical Medical Laboratory | 3230 E. Broadway Road, Suite 100, Phoenix, AZ 85040-2874 | 2011-06-07 |
| 1407164064 | Kan-di-ki LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2501 Yale Blvd Se Ste 201, Albuquerque, NM 87106-4200 | 2010-09-16 |
| 1275856643 | Kan-di-ki LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1135 Terminal Way, Reno, NV 89502 | 2010-03-12 |
| 1619116761 | Kan-di-ki LLC | Clinical Medical Laboratory | 10936 Bigge St, San Leandro, CA 94577-0015 | 2009-02-12 |
| 1316242381 | Kan-di-ki LLC | Radiology | 2501 Yale Blvd Se Ste 201, Albuquerque, NM 87106-4200 | 2011-01-21 |
| 1992017529 | Kan-di-ki LLC | Radiology | 2538 E University Dr Ste F-220, Phoenix, AZ 85034-6917 | 2010-07-12 |
| 1205158110 | Kan-di-ki LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1020 N Country Club Rd, Tucson, AZ 85716-4239 | 2010-02-18 |
| 1124340039 | Kan-di-ki LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 12668 Interurban Ave S, Tukwila, WA 98168-3314 | 2010-02-18 |
| 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 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Kan-Di-Ki LLC | 930 Ridgebrook Rd 3rd Floor, Sparks, Maryland 21152 |
| Street Address |
3000 E SELTICE WAY STE 14 |
| City | POST FALLS |
| State | ID |
| Zip Code | 83854-5590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 | 2085U0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Ultrasound |
| A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841653367 | Allied Imaging Inc | Radiology | 2043 E Center St Ste 115, Pocatello, ID 83201-3300 | 2016-04-01 |
| 1124258611 | Gem State Radiology LLP | Radiology | 161 E Mallard Dr, Suite 130, Boise, ID 83706-5015 | 2009-07-20 |
| City | POST FALLS |
| Zip Code | 83854 |
Please comment or provide details below to improve the information on KAN-DI-KI LLC.
| 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.