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U.S. RENAL CARE TUMON DIALYSIS
NPI 1790090678
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Tamuning, GU

Active since August 16, 2010CLIA 65D2016320 · Waiver
1406 N MARINE CORPS DR STE A, TAMUNING, GU 96913(671) 646-3773(671) 647-2026 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 23, 2023, Aug 27, 2021, Jun 11, 2019 (3 updates tracked since 2019).

About U.s. Renal Care Tumon Dialysis NPPES

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

U.S. RENAL CARE TUMON DIALYSIS (NPI 1790090678) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Tamuning, Guam and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Barry L. Blanton, Vice President, as its authorized official.

NPPES Registry Identity

NPI1790090678
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameRSA - TUMON, LLC
Location Address1406 N MARINE CORPS DR STE ATamuning, GU 96913-4310
Mailing Address1406 N Marine Corps Dr Ste ATamuning, GU 96913-4310 · (671) 646-3773 · Fax (671) 647-2026
Phone(671) 646-3773
Fax(671) 647-2026
Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.
Authorized OfficialBarry L. BlantonVice President · (781) 699-9000
Enumeration DateAugust 16, 2010
Last NPPES UpdateOctober 23, 20233 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1790090678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X

Other Names 1

Doing Business AsU.s. Renal Care Tumon Dialysis

Other Identifiers 1

Medicaid583GU

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 Waiver 65D2016320

Rsa Tumon LLC Dba Us Renal Care Tumon Dialysis · Tamuning, GU
Active · expires Nov 15, 2026
CLIA Number65D2016320
Laboratory TypeEnd Stage Renal Disease Dialysis Facility
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorSherif A. Philips
Laboratory Phone(671) 646-3773
Laboratory LocationRsa Tumon LLC Dba Us Renal Care Tumon Dialysis146 North Marine Corps Dr, Tamuning, GU 96913
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Rsa - Tumon, LLC's NPI number?

The NPI number for Rsa - Tumon, LLC is 1790090678. It was assigned to this organization in the NPPES registry on August 16, 2010. The provider is doing business as U.S. Renal Care Tumon Dialysis.

Where is Rsa - Tumon, LLC located?

Rsa - Tumon, LLC is located at 1406 N Marine Corps Dr Ste A, Tamuning, GU 96913. The listed phone number is (671) 646-3773.

What is Rsa - Tumon, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Rsa - Tumon, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 65D2016320) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rsa - Tumon, LLC was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.