MARY E MARTIN DIABETES CENTER OF EXCELLENCE, INC
NPI 1245794403
Clinic/Center in Hazard, KY

Active since January 22, 2019CLIA 18D2172218 · Waiver
101 TOWN AND COUNTRY LANE, SUITE 105, HAZARD, KY 41701(606) 435-7681(606) 435-7524 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2019, Jan 22, 2019 (2 updates tracked since 2019).

About Mary E Martin Diabetes Center Of Excellence, Inc NPPES

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

MARY E MARTIN DIABETES CENTER OF EXCELLENCE, INC (NPI 1245794403) is a healthcare organization registered as a clinic/center in Hazard, Kentucky and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Barry K. Martin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245794403
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMARY E MARTIN DIABETES CENTER OF EXCELLENCE, INC
Location Address101 TOWN AND COUNTRY LANE, SUITE 105Hazard, KY 41701-9524
Mailing AddressP.o. Box 1528Hazard, KY 41702-1528 · (606) 435-7519 · Fax (606) 435-7524
Fax(606) 435-7524
Organization SubpartNo
Authorized OfficialBarry K. MartinCeo · (606) 435-7658
Enumeration DateJanuary 22, 2019
Last NPPES UpdateJuly 30, 20192 updates tracked since enumeration
NPI 1245794403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
101 TOWN AND COUNTRY LANE, Hazard, KY 41701

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 18D2172218

Mary E Martin Diabetes Center Of Excellence · Hazard, KY
Active · expires Sep 17, 2027
CLIA Number18D2172218
Laboratory TypeIndependent
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorMr. Tyler S. Spencer
Laboratory Phone(606) 435-7681
Laboratory LocationMary E Martin Diabetes Center Of Excellence101 Town & Country Lane, Suite 105, Hazard, KY 41701
CLIA data matches this NPI record on: Name Phone
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.

Specialist/Technologist, Other (Electroneurodiagnostic)
101 TOWN AND COUNTRY LANE
HAZARD, KY 41701
Dentist
101 TOWN AND COUNTRY LANE, SUITE 102
HAZARD, KY 41701

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 Mary E Martin Diabetes Center Of Excellence, Inc's NPI number?

The NPI number for Mary E Martin Diabetes Center Of Excellence, Inc is 1245794403. It was assigned to this organization in the NPPES registry on January 22, 2019.

Where is Mary E Martin Diabetes Center Of Excellence, Inc located?

Mary E Martin Diabetes Center Of Excellence, Inc is located at 101 Town And Country Lane Suite 105, Hazard, KY 41701. The listed phone number is (606) 435-7681.

What is Mary E Martin Diabetes Center Of Excellence, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Mary E Martin Diabetes Center Of Excellence, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2172218) is associated with this NPI, valid through September 17, 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 Mary E Martin Diabetes Center Of Excellence, Inc was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.