Active NPI
Kensington Diagnostics LLC
- Clinical Medical Laboratory
- Wildomar, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- KENSINGTON DIAGNOSTICS LLC
- Practice address
- 36243 Inland Valley Dr
Ste 10
Wildomar, CA 92595-9549 - Phone
- (951) 735-7246
- Fax
- (951) 268-9516
- NPI assigned
- Apr 25, 2014
- Last updated
- Apr 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sanjoy Banerjee, M.D.
- Title
- Owner
- Phone
- (909) 732-1161
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | CA | Primary |
Addresses
Primary practice location
36243 Inland Valley Dr
Ste 10
Wildomar, CA 92595-9549
Mailing address
36243 Inland Valley Dr
Ste 10
Wildomar, CA 92595-9549
Phone (951) 735-7246
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2087480 | Kensington Diagnostics LLC | Registration | Nov 24, 2016 |
National Provider Directory
National Provider DirectoryLocations
36243 Inland Valley Dr
Ste 10
Wildomar, CA 92595
Phone (951) 735-7246
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Corona, CA
- NPI 1295773422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398384000000",
"number": "1992125231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36243 INLAND VALLEY DR",
"address_2": "STE 10",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "925959549",
"telephone_number": "951-735-7246",
"fax_number": "951-268-9516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36243 INLAND VALLEY DR",
"address_2": "STE 10",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "925959549",
"telephone_number": "951-735-7246",
"fax_number": "951-268-9516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENSINGTON DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-25",
"last_updated": "2014-04-25",
"status": "A",
"authorized_official_last_name": "BANERJEE",
"authorized_official_first_name": "SANJOY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-732-1161",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wildomar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.