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PUEBLO MEDICAL CLINIC
NPI 1063280568
Clinic/Center in Tucson, AZ

Active since December 13, 2023CLIA 03D0533011 · Microscopy
3535 S 12TH AVE, TUCSON, AZ 85713(520) 622-8384 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pueblo Medical Clinic NPPES

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

PUEBLO MEDICAL CLINIC (NPI 1063280568) is a healthcare organization registered as a clinic/center in Tucson, Arizona and active in the NPI registry since December 2023. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists John Quentin Harris, Provider, as its authorized official.

NPPES Registry Identity

NPI1063280568
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePUEBLO MEDICAL CLINIC
Location Address3535 S 12TH AVETucson, AZ 85713-5914
Mailing Address3535 S 12th AveTucson, AZ 85713-5914 · (520) 622-8384
Phone(520) 622-8384
Organization SubpartNo
Authorized OfficialJohn Quentin HarrisProvider · (520) 622-8384
Enumeration DateDecember 13, 2023
NPPES CertifiedDecember 13, 2023
✔ NPI 1063280568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3535 S 12TH AVE, Tucson, AZ 85713
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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 for Provider-Performed Microscopy Procedures (PPMP) 03D0533011

Pueblo Medical Clinic · Tucson, AZ
Active · expires Aug 31, 2026
CLIA Number03D0533011
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJohn Q. Harris
Laboratory Phone(520) 622-8384
Laboratory LocationPueblo Medical Clinic3535 S 12th Ave, Tucson, AZ 85713
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN QUENTIN HARRIS JR. D.O.
Family Medicine
3535 S 12TH AVE
TUCSON, AZ 85713
Pima County (520) 622-8384

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 Pueblo Medical Clinic's NPI number?

The NPI number for Pueblo Medical Clinic is 1063280568. It was assigned to this organization in the NPPES registry on December 13, 2023.

Where is Pueblo Medical Clinic located?

Pueblo Medical Clinic is located at 3535 S 12th Ave, Tucson, AZ 85713. The listed phone number is (520) 622-8384.

What is Pueblo Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Pueblo Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D0533011) is associated with this NPI, valid through August 31, 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 Pueblo Medical Clinic was last updated on December 13, 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.