Provider Demographics
NPI:1881576445
Name:SUREEXXAM LLC
Entity type:Organization
Organization Name:SUREEXXAM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BLESSING
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:AJAYI
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:410-458-4819
Mailing Address - Street 1:1 E CHASE ST STE 1117
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-2564
Mailing Address - Country:US
Mailing Address - Phone:410-458-4819
Mailing Address - Fax:410-458-4819
Practice Address - Street 1:1 E CHASE ST STE 1117
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2564
Practice Address - Country:US
Practice Address - Phone:410-458-4819
Practice Address - Fax:410-458-4819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty