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KAN-DI-KI LLC
NPI 1083926612
Radiology - Diagnostic Ultrasound in Portland, OR

Active since July 12, 2010
17744 NE SAN RAFAEL ST, PORTLAND, OR 97230(800) 638-3240(303) 576-7986 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2026, Feb 7, 2024, Feb 28, 2022 and 3 more (6 updates tracked since 2017).

About Kan-di-ki Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAN-DI-KI LLC (NPI 1083926612), doing business as Diagnostic Laboratories, is a healthcare organization registered as a diagnostic ultrasound in Portland, Oregon and active in the NPI registry since July 2010. The organization lists Brian C Cuomo, Authorized Official/cfo, as its authorized official.

NPPES Registry Identity

NPI1083926612
Entity TypeOrganization
Primary Taxonomy2085U0001X
Legal Business NameKAN-DI-KI LLC
Location Address17744 NE SAN RAFAEL STPortland, OR 97230-5927
Mailing Address215 Schilling Cir Ste 114Hunt Valley, MD 21031-1113 · (800) 786-8015
Phone(800) 638-3240
Fax(303) 576-7986
Organization SubpartNo
Authorized OfficialBrian C CuomoAuthorized Official/cfo · (800) 786-8015
Enumeration DateJuly 12, 2010
Last NPPES UpdateMarch 11, 20266 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1083926612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic UltrasoundAllopathic & Osteopathic Physicians
Taxonomy Code2085U0001X
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
Also ListedPortable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy 335V00000X
17744 NE SAN RAFAEL ST, Portland, OR 97230
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Other Names 2

Doing Business AsDiagnostic Laboratories
Doing Business AsTridentcare

Other Identifiers 2

Medicaid500654573OR
OtherP01099725OR · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCHRYVER MEDICAL SALES AND MARKETING, LLC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
17744 NE SAN RAFAEL ST
GRESHAM, OR 97230
Multnomah County (303) 371-0073
KAN-DI-KI, LLC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
17744 NE SAN RAFAEL ST
PORTLAND, OR 97230
Multnomah County (503) 206-4814
ANTONIO DOMINOVIC R.T.(R)(CT)(ARRT)
Radiologic Technologist (Radiography)
17744 NE SAN RAFAEL ST
PORTLAND, OR 97230
Multnomah County (800) 638-3240
NEW SCHRYVER LLC
Physiological Laboratory
17744 NE SAN RAFAEL ST
GRESHAM, OR 97230
Multnomah County (303) 371-0073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kan-Di-Ki LLC's NPI number?

The NPI number for Kan-Di-Ki LLC is 1083926612. It was assigned to this organization in the NPPES registry on July 12, 2010. The provider is doing business as Diagnostic Laboratories and Tridentcare.

Where is Kan-Di-Ki LLC located?

Kan-Di-Ki LLC is located at 17744 NE San Rafael St, Portland, OR 97230. The listed phone number is (800) 638-3240.

What is Kan-Di-Ki LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Ultrasound, with taxonomy code 2085U0001X.

What insurance does Kan-Di-Ki LLC accept?

Health plans from Providence Health Plan list Kan-Di-Ki LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kan-Di-Ki LLC was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.