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KAN-DI-KI LLC NPI 1851613764

NPI Profile

NPI: 1851613764
Provider Name: KAN-DI-KI, LLC

Doing Business As: DIAGNOSTIC LABORATORIES

Classification: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier - 335V00000X
Entity Type: Organization
Address:
3230 E BROADWAY RD
SUITE 100
PHOENIX, AZ
ZIP 85040
Get Directions

Phone: (602) 864-3656

KAN-DI-KI, LLC is a healthcare provider in Phoenix, AZ.The provider is a supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. KAN-DI-KI, LLC NPI is 1851613764. The provider is registered as an organization entity type.
The provider Is Doing Business As Diagnostic Laboratories.

The provider's business location address is:

3230 E BROADWAY RD
SUITE 100
PHOENIX, AZ
ZIP 85040-873
Phone: (602) 864-3656

The provider's authorized official is David Velez .
The authorized official title is Executive Vp and has the following contact phone number (800) 940-0389.

The enumeration date for this NPI number is 2/18/2010 and was last updated on 1/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1573748MEDICAIDARIZONA
2Z136900MEDICARE PINARIZONA
3P00970026OTHERARIZONARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/10/2019

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