Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAN-DI-KI LLC
NPI 1093697757
Clinical Medical Laboratory in Irvine, CA

Active since July 23, 2025
175 TECHNOLOGY DR STE 100, IRVINE, CA 92618(657) 297-0320(602) 343-5856 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 14, 2026, Mar 11, 2026 (2 updates tracked since 2026).

About Kan-di-ki Llc NPPES

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

KAN-DI-KI LLC (NPI 1093697757), doing business as Diagnostic Laboratories, is a healthcare organization registered as a clinical medical laboratory in Irvine, California and active in the NPI registry since July 2025. The organization lists Brian Cuomo, Cfo, as its authorized official.

NPPES Registry Identity

NPI1093697757
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameKAN-DI-KI LLC
Location Address175 TECHNOLOGY DR STE 100Irvine, CA 92618-2473
Mailing Address215 Schilling Cir Ste 114Hunt Valley, MD 21031-1113 · (443) 662-4101 · Fax (602) 343-5856
Fax(602) 343-5856
Organization SubpartNo
Authorized OfficialBrian CuomoCfo · (800) 786-8015
Enumeration DateJuly 23, 2025
Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
NPI 1093697757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
175 TECHNOLOGY DR STE 100, Irvine, CA 92618

Other Names 2

Doing Business AsDiagnostic Laboratories
Doing Business AsTridentcare

Other Identifiers 1

Medicaid1093697757CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D2230383

Kan-Di-Ki, LLC Dba Tridentcare · Irvine, CA
Expired · Aug 3, 2026
CLIA Number05D2230383
Laboratory TypeIndependent
Certificate Effective DateAugust 4, 2024
Certificate Expiration DateAugust 3, 2026
Laboratory DirectorPeter P. Patterson
Laboratory Phone(657) 297-0320
Laboratory LocationKan-Di-Ki, LLC Dba Tridentcare175 Technology Dr, Ste 100, Irvine, CA 92618
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 1093697757. It was assigned to this organization in the NPPES registry on July 23, 2025. The provider is doing business as Diagnostic Laboratories and TridentCare.

Where is Kan-Di-Ki LLC located?

Kan-Di-Ki LLC is located at 175 Technology Dr Ste 100, Irvine, CA 92618. The listed phone number is (657) 297-0320.

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

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Kan-Di-Ki LLC was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.