FAMILY SERVICE AGENCY
NPI 1235958653
Clinic/Center - Multi-Specialty in Tucson, AZ

NPI Status: Active since October 03, 2024

Contact Information

401 N BONITA AVE FL 2
TUCSON, AZ
ZIP 85745
Phone: (520) 721-1887
Fax: (520) 721-0069

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 03D2333688
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 11-09-2027

About FAMILY SERVICE AGENCY

This page provides the complete NPI Profile along with additional information for Family Service Agency, a provider established in Tucson, Arizona operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1235958653 assigned on October 2024. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Rose M Lopez Mba (President And Ceo)

NPI
1235958653
Provider Name
FAMILY SERVICE AGENCY
Entity Type
Organization
Location Address
401 N BONITA AVE FL 2 TUCSON, AZ 85745
Location Phone
(520) 721-1887
Location Fax
(520) 721-0069
Mailing Address
PO BOX 86537 TUCSON, AZ 85754
Mailing Phone
(520) 721-1887
Mailing Fax
(520) 721-0069
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-03-2024
Last Update Date
10-03-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROSE M LOPEZ MBA

Authorized Official Title
PRESIDENT AND CEO
Authorized Official Phone
(520) 721-1887

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2333688
Facility Type
Community Clinic
Certificate Effective Date
November 10, 2025
Certificate Expiration Date
November 09, 2027
Laboratory Director
LINDSEY RETTERATH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Family Service Agency to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235958653, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 9 → 18 → 9 8 → 16 → 7 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 1 + 8 + 5 + 1 + 6 + 6 + 1 + 0 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1235958653.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Multi-Specialty)
401 N BONITA AVE FL 2
TUCSON, AZ 85745
Clinic/Center (Multi-Specialty)
401 N BONITA AVE FL 2
TUCSON, AZ 85745
Clinic/Center (Multi-Specialty)
401 N BONITA AVE FL 2
TUCSON, AZ 85745

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235958653, enumerated as an "organization" on October 03, 2024.

The provider is located at 401 N BONITA AVE FL 2 TUCSON, AZ 85745 and the phone number is (520) 721-1887.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.