1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Radiology
  6. NPI Profile

KAN-DI-KI LLC
NPI 1992017529
Radiology - Diagnostic Ultrasound in Phoenix, AZ

Active since July 12, 2010
2502 E UNIVERSITY DR STE 290, PHOENIX, AZ 85034(602) 281-4225(443) 842-7264 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2026, Oct 10, 2023, May 2, 2023 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 1992017529), doing business as Diagnostic Laboratories, is a healthcare organization registered as a diagnostic ultrasound in Phoenix, Arizona and active in the NPI registry since July 2010. The organization maintains a secondary practice location in Las Vegas and lists Brian C Cuomo, Authorized Official/cfo, as its authorized official.

NPPES Registry Identity

NPI1992017529
Entity TypeOrganization
Primary Taxonomy2085U0001X
Legal Business NameKAN-DI-KI LLC
Location Address2502 E UNIVERSITY DR STE 290Phoenix, AZ 85034-6932
Mailing Address215 Schilling Cir Ste 114Hunt Valley, MD 21031-1113 · (800) 786-8015
Phone(602) 281-4225
Fax(443) 842-7264
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 1992017529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic UltrasoundAllopathic & Osteopathic Physicians
Taxonomy Code2085U0001X
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
2502 E UNIVERSITY DR STE 290, Phoenix, AZ 85034
Open in Google Maps ↗

Other Names 2

Doing Business AsDiagnostic Laboratories
Doing Business AsTridentcare

Secondary Practice Location 1

Location 17355 Prairie Falcon RdLas Vegas, NV 89128-0801 · Phone (702) 589-9795 · Fax (443) 842-7264

Other Identifiers 4

Medicaid517185AZ
OtherZ144027AZ · Medicare
OtherP01005658AZ · Rail Road Medicare
Medicaid633245AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kan-di-ki Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20110322000089Non-DME Part B · Independent Diagnostic Testing Facility (IDTF)Due dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kan-Di-Ki LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Khursheed Imam, MD
Diagnostic Radiology
NPI 1508828195
1906 BELLEVIEW AVE
Roanoke, VA 24014
(540) 981-7083
✔ PECOS✔ Accepts Medicare1,823 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1992017529. 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 2502 E University Dr Ste 290, Phoenix, AZ 85034. The listed phone number is (602) 281-4225.

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.

Is Kan-Di-Ki LLC enrolled in Medicare?

Yes. Kan-Di-Ki LLC is registered in the Medicare PECOS enrollment system.

When is Kan-Di-Ki LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arizona, Independent Diagnostic Testing Facility (IDTF)) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kan-Di-Ki LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Kan-Di-Ki LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 7 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.