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Contact Information

KAN-DI-KI LLC
2502 E UNIVERSITY DR STE 290
PHOENIX, AZ85034-6932
 Phone: 602-281-4225
 Fax: 443-842-7264
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Ultrasound

2085U0001X
Indicates primary specialty

NPI Profile & details for KAN-DI-KI LLC

NPI Number 1992017529
LBN Legal business name KAN-DI-KI LLC
Authorized official BRIAN CUOMO - (AUTHORIZED OFFICIAL/CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/12/2010
Last updated 03/11/2026 - About 3 months ago
Identifiers
AZ Medicaid 517185
AZ Medicaid 633245
AZ Other Z144027 MEDICARE
AZ Other P01005658 RAIL ROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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