RANDOM LAKE SCHOOL DISTRICT
NPI 1245401371
Local Education Agency (LEA) in Random Lake, WI

Active since March 17, 2008
605 RANDOM LAKE RD, RANDOM LAKE, WI 53075(920) 994-4342(920) 994-4820 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Random Lake School District NPPES

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

RANDOM LAKE SCHOOL DISTRICT (NPI 1245401371) is a healthcare organization registered as a local education agency (lea) in Random Lake, Wisconsin and active in the NPI registry since March 2008. The organization lists Thomas O Malmstadt, Superintendent, as its authorized official.

NPPES Registry Identity

NPI1245401371
Entity TypeOrganization
Primary Taxonomy251300000X
Legal Business NameSCHOOL DISTRICT OF RANDOM LAKE
Location Address605 RANDOM LAKE RDRandom Lake, WI 53075-1646
Mailing Address605 Random Lake RdRandom Lake, WI 53075-1646 · (920) 994-4342 · Fax (920) 994-4820
Fax(920) 994-4820
Organization SubpartNo
Authorized OfficialThomas O MalmstadtSuperintendent · (920) 994-4342
Enumeration DateMarch 17, 2008
NPI 1245401371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLocal Education Agency (LEA)Agencies
Taxonomy Code251300000X
Definition
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.
605 RANDOM LAKE RD, Random Lake, WI 53075

Other Names 1

Other NameRandom Lake School District

Other Identifiers 1

Medicaid44243900WI

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 52D2266271

School District Of Random Lake · Random Lake, WI
Expired · Aug 8, 2026
CLIA Number52D2266271
Laboratory TypeSchool/Student Health Service
Certificate Effective DateAugust 9, 2024
Certificate Expiration DateAugust 8, 2026
Laboratory DirectorSara R. Stout
Laboratory Phone(920) 994-4342
Laboratory LocationSchool District Of Random Lake605 Random Lake Rd, Random Lake, WI 53075
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
605 RANDOM LAKE RD
RANDOM LAKE, WI 53075

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 School District Of Random Lake's NPI number?

The NPI number for School District Of Random Lake is 1245401371. It was assigned to this organization in the NPPES registry on March 17, 2008. The provider is also known as Random Lake School District.

Where is School District Of Random Lake located?

School District Of Random Lake is located at 605 Random Lake Rd, Random Lake, WI 53075. The listed phone number is (920) 994-4342.

What is School District Of Random Lake's specialty?

The primary specialty registered for this NPI is Local Education Agency (LEA) with taxonomy code 251300000X.

When was this NPI record last updated?

The NPPES record for School District Of Random Lake was last updated on March 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.