GUAM X-RAY NPI 1376767426

NPI Information

  • NPI: 1376767426
  • Provider Name: GUAM X-RAY
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • Doing Business As: GUAM RADIOLOGY CONSULTANTS
  • CLIA Number: 65D2191411
  • Address: 633 GOV CARLOS G CAMACHO RD
    GUAM MEDICAL PLAZA, SUITE 210
    TAMUNING, GU
    ZIP 96913
  • Phone: (671) 649-1001

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NPI Details

GUAM X-RAY is a vascular and interventional radiology radiology in Tamuning, GU. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. GUAM X-RAY NPI is 1376767426. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Guam Radiology Consultants.

The provider's business location address is:

633 GOV CARLOS G CAMACHO RD
GUAM MEDICAL PLAZA, SUITE 210
TAMUNING, GU
ZIP 96913
Phone: (671) 649-1001
Fax: (671) 649-1002

The provider's authorized official is Nathaniel Benjamin Berg .
The authorized official title is Owner and has the following contact phone number (671) 649-1001.

The CLIA number assigned to this NPI record is 65D2191411 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 5/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyNo
22085R0204XRadiologyVascular & Interventional RadiologyYes
3208VP0014XPain MedicineInterventional Pain MedicineNo

What is NPI?

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This page was last updated on: 11/21/2025

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