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PRIMARY MED CLINIC LLC
NPI 1942007414
Family Medicine in Tucson, AZ

Active since March 03, 2025CLIA 03D2331255 · Waiver
4717 E CAMP LOWELL DR, TUCSON, AZ 85712(412) 225-5090 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2025, Mar 3, 2025 (2 updates tracked since 2025).

About Primary Med Clinic Llc NPPES

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

PRIMARY MED CLINIC LLC (NPI 1942007414), doing business as Primary Med Clinic, is a healthcare organization registered as a family medicine in Tucson, Arizona and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Pawan Chabra, Owner, as its authorized official.

NPPES Registry Identity

NPI1942007414
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRIMARY MED CLINIC LLC
Location Address4717 E CAMP LOWELL DRTucson, AZ 85712-1256
Mailing Address4717 E Camp Lowell DrTucson, AZ 85712-1256 · (412) 225-5090 · Fax (520) 666-3233
Phone(412) 225-5090
Organization SubpartNo
Authorized OfficialPawan ChabraOwner · (412) 225-5090
Enumeration DateMarch 3, 2025
Last NPPES UpdateJuly 28, 20252 updates tracked since enumeration
NPPES CertifiedJuly 13, 2025
✔ NPI 1942007414 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.
4717 E CAMP LOWELL DR, Tucson, AZ 85712
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Other Names 1

Doing Business AsPrimary Med Clinic

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 03D2331255

Primary Med Clinic, LLC · Tucson, AZ
Active · expires Sep 28, 2027
CLIA Number03D2331255
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorKendra M. Wilson
Laboratory Phone(520) 333-5902
Laboratory LocationPrimary Med Clinic, LLC3605 W Cortaro Farms Rd Ste 157, Tucson, AZ 85742
CLIA data matches this NPI record on: Name
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 Primary Med Clinic LLC's NPI number?

The NPI number for Primary Med Clinic LLC is 1942007414. It was assigned to this organization in the NPPES registry on March 3, 2025. The provider is doing business as Primary Med Clinic.

Where is Primary Med Clinic LLC located?

Primary Med Clinic LLC is located at 4717 E Camp Lowell Dr, Tucson, AZ 85712. The listed phone number is (412) 225-5090.

What is Primary Med Clinic LLC's specialty?

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

Does Primary Med Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2331255) is associated with this NPI, valid through September 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Primary Med Clinic LLC was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.