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Kan-Di-Ki LLC

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in North Hollywood, CA · enumerated 2005 · authorized official Brian Cuomo, Authorized Official/Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1750364345

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Kan-Di-Ki LLC
Other name <Unavail>
Practice address 12612 Raymer St, North Hollywood, CA, 91605
Enumeration date Nov 28, 2005
Last updated in NPPES Mar 11, 2026

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories · License 205582 (CA) Secondary
291U00000X Clinical Medical Laboratory Laboratories Secondary
335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Suppliers · License 043518 (CA) Primary
335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Suppliers Secondary

Authorized official

Name Brian Cuomo
Title Authorized Official/Cfo

Other identifiers

Identifier Type State Issuer
ZZZ59811Z Medicaid CA -
LAB79751F Medicaid CA -
ZZZ31268Z Medicaid CA -
XR059811F Medicaid CA -
1750364345 Medicaid MN -
2041261 Medicaid WA -
2443518 Medicaid LA -
414224201 Medicaid TX -
500621162 Medicaid OR -
05D0679751 Other CA CLIA NUMBER
05D2230383 Other CA CLIA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Kan-Di-Ki LLC?
NPPES lists Brian Cuomo (Authorized Official/Cfo) as the authorized official for this organization.
What is the NPI number for Kan-Di-Ki LLC?
The NPI for Kan-Di-Ki LLC is 1750364345, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-11.