Provider Demographics
NPI:1275309676
Name:ASSURANCE MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:ASSURANCE MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CANUELLA
Authorized Official - Middle Name:SERWAH
Authorized Official - Last Name:AKROFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-509-2662
Mailing Address - Street 1:7676 NEW HAMPSHIRE AVE STE 316
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-7515
Mailing Address - Country:US
Mailing Address - Phone:240-241-4853
Mailing Address - Fax:301-477-4191
Practice Address - Street 1:7676 NEW HAMPSHIRE AVE STE 316
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-7515
Practice Address - Country:US
Practice Address - Phone:240-241-4853
Practice Address - Fax:301-477-4191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)