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PLACITA MOBILE PRIMARY, LLC
NPI 1821808650
Nurse Practitioner in Tucson, AZ

Active since January 13, 2025CLIA Certified · 2 labs
6303 E TANQUE VERDE RD STE 311, TUCSON, AZ 85715(520) 904-4274 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Placita Mobile Primary, Llc NPPES

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

PLACITA MOBILE PRIMARY, LLC (NPI 1821808650) is a healthcare organization registered as a nurse practitioner in Tucson, Arizona and active in the NPI registry since January 2025. The organization holds 2 active CLIA laboratory certificates and lists Keith Condon, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1821808650
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePLACITA MOBILE PRIMARY, LLC
Location Address6303 E TANQUE VERDE RD STE 311Tucson, AZ 85715-3857
Mailing Address333 N Wilmot Rd Ste 340Tucson, AZ 85711-2607 · (520) 904-4274
Phone(520) 904-4274
Organization SubpartNo
Authorized OfficialKeith CondonManaging Member · (520) 904-4274
Enumeration DateJanuary 13, 2025
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1821808650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
6303 E TANQUE VERDE RD STE 311, Tucson, AZ 85715
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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

CLIA Laboratory Certificates CMS CLIA 2

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 03D2337558

Placita Mobile Laboratory, LLC · Tucson, AZ
Active · expires Jan 25, 2028
CLIA Number03D2337558
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorJohn M. Mahan
Laboratory Phone(520) 703-8718
Laboratory LocationPlacita Mobile Laboratory, LLC6303 E Tanque Verde Rd Ste 311, Tucson, AZ 85715
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2339820

Placita Mobile Primary, LLC · Tucson, AZ
Active · expires Mar 8, 2028
CLIA Number03D2339820
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorJohn M. Mahan
Laboratory Phone(520) 703-8718
Laboratory LocationPlacita Mobile Primary, LLC8701 S Kolb Dr, Tucson, AZ 85715
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

CARE BRIDGE FOUNDATION
Nurse Practitioner
6303 E TANQUE VERDE RD STE 311
TUCSON, AZ 85715
Pima County (520) 479-3042
JONATHAN ROBERT MARTENS ACNP
Internal Medicine
6303 E TANQUE VERDE RD STE 311
TUCSON, AZ 85715
Pima County (520) 703-8718

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 Placita Mobile Primary, LLC's NPI number?

The NPI number for Placita Mobile Primary, LLC is 1821808650. It was assigned to this organization in the NPPES registry on January 13, 2025.

Where is Placita Mobile Primary, LLC located?

Placita Mobile Primary, LLC is located at 6303 E Tanque Verde Rd Ste 311, Tucson, AZ 85715. The listed phone number is (520) 904-4274.

What is Placita Mobile Primary, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Placita Mobile Primary, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Placita Mobile Primary, LLC was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.