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

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: July 26, 2026.

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.

DR. KETAYOUN DAVARI PHARM.D.
Pharmacist (Pharmacotherapy)
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
MS. SUSAN DAILEY MCCONNELL N.P.
Nurse Practitioner (Adult Health)
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
ANTHONY JOHN LABADIA PA-C
Physician Assistant (Surgical)
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
C BLAKE AASGAARD PA
Physician Assistant
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
JOANNE SHIRINE H. ALLAM M.D.
Internal Medicine (Pulmonary Disease)
1670 CLAIRMONT RD, PULM 111
DECATUR, GA 30033
Dekalb County (404) 321-6111
VERNA MAE DAVIS-OLIVER DIETITIAN
Dietitian, Registered
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
MRS. NICOLE J DAVIS NP
Nurse Practitioner (Gerontology)
1670 CLAIRMONT RD
DECATUR, GA 30033
Dekalb County (404) 321-6111
DR. KIM WILLIAMS HOUSE MD
Internal Medicine (Geriatric Medicine)
1670 CLAIRMONT RD
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 with the weekly NPPES data releases published by CMS.