Individual provider · Type 1 NPI

Alphonsus Maduwuba Agbaere, MT(ASCP)CLS(NCA)

Clinical Laboratory Director (Non-physician) · Decatur, GA

NPI number 1760626279 Active

Practice location

1670 Clairmont Rd
Decatur, GA 30033-4004

Call (404) 321-6111 Map

Mailing address

2222 Columbia Dr
Decatur, GA 30032-7206

Specialties and licenses

TaxonomyCodeLicense
Medical Laboratory Technician 246RM2200X163311 (GA)
Clinical Laboratory Director (Non-physician) Primary 247ZC0005X163311 (GA)

Clinical Laboratory Director (Non-physician): 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.

1,009 other providers at this address

About NPI 1760626279

Alphonsus Maduwuba Agbaere, MT(ASCP)CLS(NCA)'s National Provider Identifier is 1760626279, issued on Apr 28, 2009. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Decatur, GA. The record was last updated on Apr 28, 2009.