Kenton Diagnostics, Inc

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

KENTON DIAGNOSTICS, INC

Practice address

6422 N Western Ave
Chicago, IL 60645-5422

Phone

(773) 465-3500

NPI assigned

Jul 1, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bassera Zafar

Title

President

Phone

(847) 840-6761

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1700048626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4787",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600764787",
            "telephone_number": "847-840-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606455422",
            "telephone_number": "773-465-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTON DIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "ZAFAR",
        "authorized_official_first_name": "BASSERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-840-6761"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madigan Kent, MSW, LCSW
• Paul Kent, M.D.
• William David Thomas Kent, MD, MSC
• Kristy Kenter, PA-C
• Laiken Peterson Kentnich, MS, CGC
• Kimberly Kenton, MD
• Kenwood Dental Group
• Kenwood Healthcare Center
• Kenwood Village Nursing and Rehabilitation Center, LLC
• Brandy Kenworthy, LCSW

• Mobile Radiology Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Mobile Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.