ALPHONSUS MADUWUBA AGBAERE MT(ASCP)CLS(NCA)
NPI 1760626279
Pathology - Clinical Laboratory Director, Non-physician in Decatur, GA

Q: What is Alphonsus Agbaere's NPI number?

The NPI number for Alphonsus Agbaere is 1760626279. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Q: What is Alphonsus Agbaere's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

Q: When was this NPI record last updated?

The NPPES record for Alphonsus Agbaere was last updated on April 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 28, 2009

1670 CLAIRMONT RD, DECATUR, GA 30033(404) 321-6111 Get Directions Write a Review

NPPES record last updated: April 28, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Alphonsus Maduwuba Agbaere Mt(ascp)cls(nca) NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALPHONSUS MADUWUBA AGBAERE MT(ASCP)CLS(NCA) (NPI 1760626279) is an individual clinical laboratory director, non-physician in Decatur, Georgia, licensed in Georgia (163311) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1760626279

Entity TypeIndividualMale

Primary Taxonomy247ZC0005X

Provider Legal NameALPHONSUS MADUWUBA AGBAERECredential: MT(ASCP)CLS(NCA)

Location Address1670 CLAIRMONT RDDecatur, GA 30033-4004

Mailing Address2222 Columbia DrDecatur, GA 30032-7206 · (404) 286-2838

Phone(404) 321-6111

Sole ProprietorNo

Enumeration DateApril 28, 2009

✔ NPI 1760626279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247ZC0005X

License✔ Licensed in GA · 163311

Definition

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

Also ListedTechnician, Pathology · Medical LaboratoryTaxonomy 246RM2200X · License 163311 (GA)

1670 CLAIRMONT RD, Decatur, GA 30033

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LAPARISIENNE MOORE-BROWN LMSW

Social Worker

1670 CLAIRMONT RD
DECATUR, GA 30033

Dekalb County (404) 321-6111

BRANDON HAYGOOD

Social Worker

1670 CLAIRMONT RD
DECATUR, GA 30033

Dekalb County (404) 321-6111

ARIANNE JAMES

Registered Nurse

1670 CLAIRMONT RD
DECATUR, GA 30033

Dekalb County (404) 321-6111

KARLA MARIE GARCIA ORTIZ MD

Family Medicine

1670 CLAIRMONT RD
DECATUR, GA 30033

Dekalb County (044) 680-7354

MRS. JENNIFER REBECCA MUNRO MS, CCC/SLP

Speech-Language Pathologist

1670 CLAIRMONT RD, ATLANTA VAMC CODE 126 AUDIOLOGY AND SPEECH PATHOLOGY
DECATUR, GA 30033

Dekalb County (404) 417-2953

DR. NED WILSON HOLLAND MD

Internal Medicine (Geriatric Medicine)

1670 CLAIRMONT RD, VAMC - 11B
DECATUR, GA 30033

Dekalb County (404) 321-6111

MR. ROOSEVELT N/A DAVIS RPH

Pharmacist (Pharmacotherapy)

1670 CLAIRMONT RD
DECATUR, GA 30033

Dekalb County (404) 321-6111

CEDRELLA CAROL JONES-TAYLOR M.D.

Internal Medicine

1670 CLAIRMONT RD, PRIMARY CARE
DECATUR, GA 30033

Dekalb County (404) 321-6111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alphonsus Agbaere's NPI number?

The NPI number for Alphonsus Agbaere is 1760626279. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Where is Alphonsus Agbaere located?

Alphonsus Agbaere practices at 1670 Clairmont Rd, Decatur, GA 30033. The listed phone number is (404) 321-6111.

What is Alphonsus Agbaere's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Alphonsus Agbaere was last updated on April 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.