Organization Active NPI

Lawrence Noble Enterprises, Inc.

Doing business as Passport Health DC

  • Health Service Clinic/Center
  • Silver Spring, MD
National Provider Identifier
1841686490
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
LAWRENCE NOBLE ENTERPRISES, INC.
Doing business as
Passport Health DC
Practice address
1734 Elton Rd
Suite 112
Silver Spring, MD 20903-1724
Phone
(301) 408-4544
Fax
(301) 408-7554
NPI assigned
Apr 10, 2015
Last updated
Apr 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mark Lawrence Noble
Title
Owner/President
Phone
(301) 408-4544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

1734 Elton Rd
Suite 112
Silver Spring, MD 20903-1724

Mailing address

1734 Elton Rd
Suite 112
Silver Spring, MD 20903-1724
Phone (301) 408-4544

Other names 1

  • Passport Health DC Doing business as

National Provider Directory

National Provider Directory

Locations

1734 Elton Rd
Ste 112
Silver Spring, MD 20903
Phone (301) 408-4544

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1841686490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 ELTON RD",
            "address_2": "SUITE 112",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031724",
            "telephone_number": "301-408-4544",
            "fax_number": "301-408-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 ELTON RD",
            "address_2": "SUITE 112",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031724",
            "telephone_number": "301-408-4544",
            "fax_number": "301-408-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE NOBLE ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "301-408-4544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passport Health DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.