ALTAIRE CLINIC PLLC
NPI 1730710229
Dermatology - Procedural Dermatology in Fargo, ND

Active since February 03, 2020CLIA 35D2223957 · Waiver
5257 27TH ST S STE 201, FARGO, ND 58104(701) 356-5503 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 7, 2021, Mar 3, 2020, Feb 3, 2020 (3 updates tracked since 2020).

About Altaire Clinic Pllc NPPES

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

ALTAIRE CLINIC PLLC (NPI 1730710229), doing business as Laser Renewal Pllc, is a healthcare organization registered as a procedural dermatology in Fargo, North Dakota and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists Tamra A Schue, Owner, as its authorized official.

NPPES Registry Identity

NPI1730710229
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameALTAIRE CLINIC PLLC
Location Address5257 27TH ST S STE 201Fargo, ND 58104-7782
Mailing Address5257 27th St S Ste 201Fargo, ND 58104-7782 · (701) 356-5503
Organization SubpartNo
Authorized OfficialTamra A SchueOwner · (701) 388-6306
Enumeration DateFebruary 3, 2020
Last NPPES UpdateDecember 7, 20213 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
NPI 1730710229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
5257 27TH ST S STE 201, Fargo, ND 58104

Other Names 1

Former Legal Business NameLaser Renewal Pllc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 35D2223957

Laser Renewal Dba Altaire Clinic · Fargo, ND
Active · expires May 10, 2027
CLIA Number35D2223957
Laboratory TypePractitioner Other
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorTamra A. Garberg
Laboratory Phone(701) 356-5503
Laboratory LocationLaser Renewal Dba Altaire Clinic5257 27th St S, Fargo, ND 58104
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 3

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

Nurse Practitioner (Family)
5257 27TH ST S STE 201
FARGO, ND 58104
Physician Assistant
5257 27TH ST S STE 201
FARGO, ND 58104
Physician Assistant
5257 27TH ST S STE 201
FARGO, ND 58104

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 Altaire Clinic PLLC's NPI number?

The NPI number for Altaire Clinic PLLC is 1730710229. It was assigned to this organization in the NPPES registry on February 3, 2020. The provider was formerly known as Laser Renewal PLLC.

Where is Altaire Clinic PLLC located?

Altaire Clinic PLLC is located at 5257 27th St S Ste 201, Fargo, ND 58104. The listed phone number is (701) 356-5503.

What is Altaire Clinic PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Does Altaire Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2223957) is associated with this NPI, valid through May 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Altaire Clinic PLLC accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Altaire Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Altaire Clinic PLLC was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.