KAN-DI-KI LLC (NPI# 1316242381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316242381 |
| Entity Type | Organization |
| Organization Name | KAN-DI-KI LLC |
| Other Organization Name | DIAGNOSTIC LABORATORIES |
| Practice Address |
2501 Yale Blvd Se Ste 201 Albuquerque NM 87106-4200 |
| Mailing Address |
2820 N Ontario St Burbank CA 91504-2015 |
| Practice Telephone | 5055082569 |
| Practice Fax Number | 5055082715 |
| Mailing Telephone | 8185491880 |
| Mailing Fax Number | 8183337186 |
| Enumeration Date | 2011-01-21 |
| 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 |
| 1942566435 | Kan-di-ki LLC | Radiology | 3000 E Seltice Way Ste 14, Post Falls, ID 83854-5590 | 2012-04-09 |
| 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 |
2501 YALE BLVD SE STE 201 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| 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 |
|---|---|---|---|---|
| 1295823151 | Roger Cobban Sanders | Radiology | 4600 Montgomery Blvd Ne Ste 105a, Albuquerque, NM 87109-1292 | 2006-10-10 |
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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.