Organization Active NPI

Abs Clinical Services

  • Clinic/Center
  • Bladensburg, MD
National Provider Identifier
1255916144
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ABS CLINICAL SERVICES
Practice address
5632 Annapolis Rd Ste 11
Bladensburg, MD 20710-2213
Phone
(240) 486-7097
NPI assigned
Mar 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Khudsiatu TuckerNPI 1831707488
Title
NP
Phone
(240) 486-7097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

5632 Annapolis Rd Ste 11
Bladensburg, MD 20710-2213

Mailing address

5632 Annapolis Rd Ste 11
Bladensburg, MD 20710-2213
Phone (240) 486-7097

Other practice location 1

511 N Boardwalk Fl 1
Rehoboth Beach, DE 19971-2162
Phone (240) 770-8969

Other names 1

  • ABS Memorial Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2221192Abs Clinical Services5632 Annapolis Rd #11, Bladensburg, MD 20710Certificate of waiverApr 19, 2027

National Provider Directory

National Provider Directory

Locations

5632 Annapolis Rd
Ste 11
Bladensburg, MD 20710
Phone (240) 486-7097

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1255916144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5632 ANNAPOLIS RD STE 11",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207102213",
            "telephone_number": "240-486-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 ANNAPOLIS RD STE 11",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207102213",
            "telephone_number": "240-486-7097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 N Boardwalk Fl 1",
            "address_purpose": "LOCATION",
            "city": "Rehoboth Beach",
            "state": "DE",
            "postal_code": "199712162",
            "country_code": "US",
            "telephone_number": "240-770-8969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABS CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "KHUDSIATU",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "240-486-7097"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABS Memorial",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABS Memorial",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bladensburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.