Healthcare Provider Details

I. General information

NPI: 1881576445
Provider Name (Legal Business Name): SUREEXXAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2025
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E CHASE ST STE 1117
BALTIMORE MD
21202-2564
US

IV. Provider business mailing address

1 E CHASE ST STE 1117
BALTIMORE MD
21202-2564
US

V. Phone/Fax

Practice location:
  • Phone: 410-458-4819
  • Fax: 410-458-4819
Mailing address:
  • Phone: 410-458-4819
  • Fax: 410-458-4819

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. BLESSING ALICIA AJAYI
Title or Position: OWNER
Credential: PA
Phone: 410-458-4819