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PARK FAMILY MEDICINE LLC
NPI 1376488858
Family Medicine in Tucson, AZ

Active since April 21, 2026CLIA 03D2338189 · Waiver
310 N WILMOT RD STE 301, TUCSON, AZ 85711(520) 771-6675(520) 771-9507 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Family Medicine Llc NPPES

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

PARK FAMILY MEDICINE LLC (NPI 1376488858) is a healthcare organization registered as a family medicine in Tucson, Arizona and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through February 5, 2028 and lists Eun Soo David Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1376488858
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePARK FAMILY MEDICINE LLC
Location Address310 N WILMOT RD STE 301Tucson, AZ 85711-2628
Mailing Address310 N Wilmot Rd Ste 301Tucson, AZ 85711-2628 · (520) 771-6675 · Fax (520) 771-9507
Phone(520) 771-6675
Fax(520) 771-9507
Organization SubpartNo
Authorized OfficialEun Soo David ParkOwner · (520) 771-6675
Enumeration DateApril 21, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1376488858 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.
310 N WILMOT RD STE 301, Tucson, AZ 85711
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 03D2338189

Park Family Medicine LLC · Tucson, AZ
Active · expires Feb 5, 2028
CLIA Number03D2338189
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorEun Soo D. Park
Laboratory Phone(520) 771-6675
Laboratory LocationPark Family Medicine LLC310 N Wilmot Rd Ste 301, Tucson, AZ 85711
CLIA data matches this NPI record on: Address 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 Park Family Medicine LLC's NPI number?

The NPI number for Park Family Medicine LLC is 1376488858. It was assigned to this organization in the NPPES registry on April 21, 2026.

Where is Park Family Medicine LLC located?

Park Family Medicine LLC is located at 310 N Wilmot Rd Ste 301, Tucson, AZ 85711. The listed phone number is (520) 771-6675.

What is Park Family Medicine LLC's specialty?

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

Does Park Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2338189) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Park Family Medicine LLC was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.