LAUDERDALE LAGRANGE FIRE DEPARTMENT INC
NPI 1114924206
Ambulance - Land Transport in Whitewater, WI
NPI Status: Active since July 05, 2005
Contact Information
W6080 US HIGHWAY 12
WHITEWATER, WI
ZIP 53190
Phone: (262) 495-8400
Fax: (262) 495-8426
- Organization
- Ambulance
- Land Transport
- CLIA Number: 52D0930734
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 07-16-2027
About LAUDERDALE LAGRANGE FIRE DEPARTMENT INC
This page provides the complete NPI Profile along with additional information for Lauderdale Lagrange Fire Department Inc, a provider established in Whitewater, Wisconsin operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1114924206 assigned on July 2005. The practitioner's primary taxonomy code is 3416L0300X with license number 60-00522 (WI). The provider is registered as an organization and their NPI record was last updated March 2026. The authorized official of this NPI record is Ben Clark (Ems Captain)
- NPI
- 1114924206
- Provider Name
- LAUDERDALE LAGRANGE FIRE DEPARTMENT INC
- Entity Type
- Organization
- Location Address
- W6080 US HIGHWAY 12 WHITEWATER, WI 53190
- Location Phone
- (262) 495-8400
- Location Fax
- (262) 495-8426
- Mailing Address
- W6080 US HIGHWAY 12 WHITEWATER, WI 53190
- Mailing Phone
- (262) 495-4658
- Mailing Fax
- (262) 495-8426
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-05-2005
- Last Update Date
- 03-30-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ambulance Land Transport
- Taxonomy Code
- 3416L0300X
- Type
- Transportation Services
- License No.
- 60-00522
- License State
- WI
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0930734
- Facility Type
- Ambulance
- Certificate Effective Date
- July 17, 2025
- Certificate Expiration Date
- July 16, 2027
- Laboratory Director
- BEN CLARK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lauderdale Lagrange Fire Department Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for LAUDERDALE LAGRANGE FIRE DEPARTMENT INC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1114924206, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114924206, enumerated as an "organization" on July 05, 2005.
The provider is located at W6080 US HIGHWAY 12 WHITEWATER, WI 53190 and the phone number is (262) 495-8400.
Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.
