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LAWRENCE NOBLE ENTERPRISES INC. NPI 1841686490


NPI Information

NPI: 1841686490
Provider Name: LAWRENCE NOBLE ENTERPRISES, INC.

Doing Business As: PASSPORT HEALTH DC

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 21D2203034

Address:
1734 ELTON RD
SUITE 112
SILVER SPRING, MD
ZIP 20903
Phone: (301) 408-4544
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LAWRENCE NOBLE ENTERPRISES, INC. is a health service clinic center in Silver Spring, MD. LAWRENCE NOBLE ENTERPRISES, INC. NPI is 1841686490. The provider is registered as an organization entity type.
The provider Is Doing Business As Passport Health Dc.

The provider's business location address is:

1734 ELTON RD
SUITE 112
SILVER SPRING, MD
ZIP 20903-724
Phone: (301) 408-4544
Fax: (301) 408-7554

The provider's authorized official is Mark Lawrence Noble .
The authorized official title is Owner/president and has the following contact phone number (301) 408-4544.

The CLIA number assigned to this NPI record is 21D2203034 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2015 and was last updated on 4/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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