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FAST PACE KENTUCKY PLLC
NPI 1033893920
Clinic/Center - Rural Health in Maysville, KY

Active since June 12, 2023CLIA 18D2142339 · Waiver
420 MARTIN LUTHER KING HWY, MAYSVILLE, KY 41056(606) 375-4817(931) 722-9919 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fast Pace Kentucky Pllc NPPES

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

FAST PACE KENTUCKY PLLC (NPI 1033893920) is a healthcare organization registered as a rural health in Maysville, Kentucky and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through January 8, 2028 and lists Sydni Clemmons, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1033893920
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFAST PACE KENTUCKY PLLC
Location Address420 MARTIN LUTHER KING HWYMaysville, KY 41056-8961
Mailing AddressPo Box 306414Nashville, TN 37230-6414 · (931) 253-1110 · Fax (931) 722-9919
Phone(606) 375-4817
Fax(931) 722-9919
Organization SubpartNo
Authorized OfficialSydni ClemmonsDirector Of Credentialing · (901) 351-1791
Enumeration DateJune 12, 2023
Last NPPES UpdateJune 13, 2023
NPPES CertifiedJune 13, 2023
✔ NPI 1033893920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
420 MARTIN LUTHER KING HWY, Maysville, KY 41056
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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 18D2142339

Fast Pace Kentucky, PLLC · Maysville, KY
Active · expires Jan 8, 2028
CLIA Number18D2142339
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 9, 2026
Certificate Expiration DateJanuary 8, 2028
Laboratory DirectorMs. Dana Martin
Laboratory Phone(606) 375-4817
Laboratory LocationFast Pace Kentucky, PLLC420 Martin Luther King Hwy, Maysville, KY 41056
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 Fast Pace Kentucky PLLC's NPI number?

The NPI number for Fast Pace Kentucky PLLC is 1033893920. It was assigned to this organization in the NPPES registry on June 12, 2023.

Where is Fast Pace Kentucky PLLC located?

Fast Pace Kentucky PLLC is located at 420 Martin Luther King Hwy, Maysville, KY 41056. The listed phone number is (606) 375-4817.

What is Fast Pace Kentucky PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Fast Pace Kentucky PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2142339) is associated with this NPI, valid through January 8, 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 Fast Pace Kentucky PLLC was last updated on June 13, 2023. 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.