Healthcare Provider Details

I. General information

NPI: 1780476713
Provider Name (Legal Business Name): NOBLE MEDLAB L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2025
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 DORCHESTER AVE STE PURPLE1
CAMBRIDGE MD
21613-2421
US

IV. Provider business mailing address

411 DORCHESTER AVE STE PURPLE1
CAMBRIDGE MD
21613-2421
US

V. Phone/Fax

Practice location:
  • Phone: 410-463-1495
  • Fax: 410-835-4995
Mailing address:
  • Phone: 410-463-1495
  • Fax: 410-835-4995

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: KIAIRA MAJOR
Title or Position: OWNER
Credential:
Phone: 410-330-7559