MARTIN MEMORIAL MEDICAL CENTER INC
NPI 1235068644
General Practice in Port St Lucie, FL
About Martin Memorial Medical Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTIN MEMORIAL MEDICAL CENTER INC (NPI 1235068644), doing business as Cleveland Clinic Martin North, South, Tradition Hospitals, is a healthcare organization registered as a general practice in Port St Lucie, Florida and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through December 29, 2026 and lists Dennis Lee Laraway, Executive Vp Chief Finance Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 10D2316147
Martin Memorial Medical Center Inc · Port Saint Lucie, FLFrequently 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 Martin Memorial Medical Center Inc's NPI number?
The NPI number for Martin Memorial Medical Center Inc is 1235068644. It was assigned to this organization in the NPPES registry on May 14, 2026. The provider is doing business as Cleveland Clinic Martin North, South, Tradition Hospitals.
Where is Martin Memorial Medical Center Inc located?
Martin Memorial Medical Center Inc is located at 1095 NW Saint Lucie West Blvd Ste 200, Port St Lucie, FL 34986. The listed phone number is (772) 785-5588.
What is Martin Memorial Medical Center Inc's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Does Martin Memorial Medical Center Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2316147) is associated with this NPI, valid through December 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Martin Memorial Medical Center Inc was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Martin Memorial Medical Center Inc · NPI 1235068644
General Practice organization in Port St Lucie, Florida. Organization record, active in the CMS NPPES registry since May 14, 2026.
## Identity
- **NPI:** 1235068644 (Entity type: Organization)
- **Enumerated:** May 14, 2026
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Also known as:** Cleveland Clinic Martin North, South, Tradition Hospitals (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Dennis Laraway, EXECUTIVE VP CHIEF FINANCE OFFICER
## Practice location
- **Address:** 1095 NW SAINT LUCIE WEST BLVD STE 200, Port St Lucie, FL 34986-1719
- **Phone:** (772) 785-5588
## Record status
- **NPPES last updated:** May 29, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235068644) · Data from the CMS NPPES public registry.