AGAVE FAMILY MEDICINE & BREAST FEEDING SUPPORT CENTER LLC
NPI 1265165484
Family Medicine in Tucson, AZ

Active since July 06, 2022CLIA 03D2222292 · Microscopy
1925 W ORANGE GROVE RD STE 201, TUCSON, AZ 85704(520) 372-2167 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2022, Jul 6, 2022 (2 updates tracked since 2022).

About Agave Family Medicine & Breast Feeding Support Center Llc NPPES

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

AGAVE FAMILY MEDICINE & BREAST FEEDING SUPPORT CENTER LLC (NPI 1265165484) is a healthcare organization registered as a family medicine in Tucson, Arizona and active in the NPI registry since July 2022. The organization holds a CLIA Microscopy certificate valid through April 27, 2027 and lists Mary C Harrel, Director, as its authorized official.

NPPES Registry Identity

NPI1265165484
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAGAVE FAMILY MEDICINE & BREAST FEEDING SUPPORT CENTER LLC
Location Address1925 W ORANGE GROVE RD STE 201Tucson, AZ 85704-1151
Mailing Address1925 W Orange Grove Rd Ste 201Tucson, AZ 85704-1151 · (520) 372-2167
Organization SubpartNo
Authorized OfficialMary C HarrelDirector · (602) 999-4659
Enumeration DateJuly 6, 2022
Last NPPES UpdateSeptember 30, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
NPI 1265165484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1925 W ORANGE GROVE RD STE 201, Tucson, AZ 85704

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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) 03D2222292

Agave Family Medicine · Tucson, AZ
Active · expires Apr 27, 2027
CLIA Number03D2222292
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorMary Harrel
Laboratory Phone(520) 347-8035
Laboratory LocationAgave Family Medicine1925 W Orange Grove Rd Ste 201, Tucson, AZ 85704
CLIA data matches this NPI record on: Address Name
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 4

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

Nurse Practitioner
1925 W ORANGE GROVE RD STE 201
TUCSON, AZ 85704
Family Medicine
1925 W ORANGE GROVE RD STE 201
TUCSON, AZ 85704
Family Medicine
1925 W ORANGE GROVE RD STE 201
TUCSON, AZ 85704
Nurse Practitioner
1925 W ORANGE GROVE RD STE 201
TUCSON, AZ 85704

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 Agave Family Medicine & Breast Feeding Support Center LLC's NPI number?

The NPI number for Agave Family Medicine & Breast Feeding Support Center LLC is 1265165484. It was assigned to this organization in the NPPES registry on July 6, 2022.

Where is Agave Family Medicine & Breast Feeding Support Center LLC located?

Agave Family Medicine & Breast Feeding Support Center LLC is located at 1925 W Orange Grove Rd Ste 201, Tucson, AZ 85704. The listed phone number is (520) 372-2167.

What is Agave Family Medicine & Breast Feeding Support Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Agave Family Medicine & Breast Feeding Support Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D2222292) is associated with this NPI, valid through April 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Agave Family Medicine & Breast Feeding Support Center LLC accept?

Health plans from Ambetter from Arizona Complete Health list Agave Family Medicine & Breast Feeding Support Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Agave Family Medicine & Breast Feeding Support Center LLC was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.