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NORDIC PRIVATE CARE, LLC
NPI 1902407786
Clinic/Center - Corporate Health in Baraboo, WI

Active since November 06, 2020CLIA 52D2076940 · Waiver
814 LYNN AVENUE, BARABOO, WI 53913(608) 355-6990(608) 355-2291 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nordic Private Care, Llc NPPES

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

NORDIC PRIVATE CARE, LLC (NPI 1902407786) is a healthcare organization registered as a corporate health in Baraboo, Wisconsin and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Traci L Rothenburger, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1902407786
Entity TypeOrganization
Primary Taxonomy261QC1800X
Legal Business NameNORDIC PRIVATE CARE, LLC
Location Address814 LYNN AVENUEBaraboo, WI 53913
Mailing Address814 Lynn AvenueBaraboo, WI 53913 · (608) 355-6990 · Fax (608) 355-2291
Phone(608) 355-6990
Fax(608) 355-2291
Organization SubpartYes
Authorized OfficialTraci L RothenburgerClinic Manager · (608) 355-6993
Enumeration DateNovember 6, 2020
NPPES CertifiedNovember 6, 2020
✔ NPI 1902407786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Corporate HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1800X
814 LYNN AVENUE, Baraboo, WI 53913
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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 52D2076940

Nordic Privatecare, LLC · Baraboo, WI
Active · expires Apr 28, 2028
CLIA Number52D2076940
Laboratory TypeIndustrial
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorMs. Traci L. Rothenburger
Laboratory Phone(608) 355-6990
Laboratory LocationNordic Privatecare, LLC814 Lynn Ave, Baraboo, WI 53913
CLIA data matches this NPI record on: Address Phone
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 Nordic Private Care, LLC's NPI number?

The NPI number for Nordic Private Care, LLC is 1902407786. It was assigned to this organization in the NPPES registry on November 6, 2020.

Where is Nordic Private Care, LLC located?

Nordic Private Care, LLC is located at 814 Lynn Avenue, Baraboo, WI 53913. The listed phone number is (608) 355-6990.

What is Nordic Private Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Corporate Health, with taxonomy code 261QC1800X.

Does Nordic Private Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2076940) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nordic Private Care, LLC was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.