Kan-Di-Ki LLC
NPI 1992017529 · Diagnostic Ultrasound Physician · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1992017529
- 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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Diagnostic Laboratories
- Doing business as
- Diagnostic Laboratories
- Doing business as
- Tridentcare
Additional practice locations (1)
- 7355 Prairie Falcon RdLas Vegas, NV 89128-0801Phone: (702) 589-9795Fax: (443) 842-7264
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.