OrganizationActive
Kan-Di-Ki LLC
NPI 1083926612 · Diagnostic Ultrasound Physician · Portland, OR
Provider details
- NPI number
- 1083926612
- Entity type
- Organization
- Primary specialty
- Diagnostic Ultrasound PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Cuomo, Authorized Official/Cfo(800) 786-8015
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Suppliers
Practice location
17744 Ne San Rafael St
Portland, OR 97230-5927
Phone: (800) 638-3240
Fax: (303) 576-7986
Approximate (ZIP-level) locationGet directions
Mailing address
215 Schilling Cir Ste 114
Hunt Valley, MD 21031-1113
Other names (DBA / former)
- Doing business as
- Diagnostic Laboratories
- Doing business as
- Tridentcare
Registry dates
- Enumerated
- 2010-07-12
- Last updated
- 2026-03-11
- Certified
- 2026-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.