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LAUDERDALE LAGRANGE FIRE DEPARTMENT INC
NPI 1114924206
Ambulance - Land Transport in Whitewater, WI

Active since July 05, 2005CLIA 52D0930734 · Waiver
W6080 US HIGHWAY 12, WHITEWATER, WI 53190(262) 495-8400(262) 495-8426 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Lauderdale Lagrange Fire Department Inc NPPES

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

LAUDERDALE LAGRANGE FIRE DEPARTMENT INC (NPI 1114924206) is a healthcare organization registered as a land transport in Whitewater, Wisconsin and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Ben Clark, Ems Captain, as its authorized official.

NPPES Registry Identity

NPI1114924206
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameLAUDERDALE LAGRANGE FIRE DEPARTMENT INC
Location AddressW6080 US HIGHWAY 12Whitewater, WI 53190-4033
Mailing AddressW6080 Us Highway 12Whitewater, WI 53190-4033 · (262) 495-4658 · Fax (262) 495-4686
Phone(262) 495-8400
Fax(262) 495-8426
Organization SubpartNo
Authorized OfficialBen ClarkEms Captain · (262) 949-9704
Enumeration DateJuly 5, 2005
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1114924206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in WI · 60-00522
W6080 US HIGHWAY 12, Whitewater, WI 53190
Open in Google Maps ↗

Other Names 1

Doing Business AsLauderdale Lagrange Fire Department Inc

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 52D0930734

Lauderdale-Lagrange Fire Department · Whitewater, WI
Active · expires Jul 16, 2027
CLIA Number52D0930734
Laboratory TypeAmbulance
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorBen Clark
Laboratory Phone(262) 495-8625
Laboratory LocationLauderdale-Lagrange Fire DepartmentW6080 Us Hwy 12, Whitewater, WI 53190
CLIA data matches this NPI record on: Address 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 Lauderdale Lagrange Fire Department Inc's NPI number?

The NPI number for Lauderdale Lagrange Fire Department Inc is 1114924206. It was assigned to this organization in the NPPES registry on July 5, 2005.

Where is Lauderdale Lagrange Fire Department Inc located?

Lauderdale Lagrange Fire Department Inc is located at W6080 Us Highway 12, Whitewater, WI 53190. The listed phone number is (262) 495-8400.

What is Lauderdale Lagrange Fire Department Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Lauderdale Lagrange Fire Department Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0930734) is associated with this NPI, valid through July 16, 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 Lauderdale Lagrange Fire Department Inc was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.