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Alphonsus Maduwuba Agbaere, MT(ASCP)CLS(NCA)
Clinical Laboratory Director (Non-physician) in Decatur, Georgia
NPI 1760626279

Alphonsus Maduwuba Agbaere is a Clinical Laboratory Director (Non-physician) based in Decatur, GA and is specialized in Clinical Laboratory Director, Non-physician. Alphonsus Maduwuba Agbaere practices in Decatur, GA and has the professional credentials of MT(ASCP)CLS(NCA). The NPI Number for Alphonsus Maduwuba Agbaere is 1760626279 and holds a License No. 163311 (Georgia).

The current practice location address for Alphonsus Maduwuba Agbaere is 1670 Clairmont Rd, Decatur, GA and can be reached out via phone at 404-321-6111.

Location: 1670 Clairmont Rd, Decatur, GA, 30032-7206
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Provider Profile Details
NPI Number
1760626279
Provider Name
Alphonsus Maduwuba Agbaere
Credential
MT(ASCP)CLS(NCA)
Provider Entity Type
Individual
Gender
Male
Address
1670 Clairmont Rd, Decatur, GA, 30032-7206
Phone Number
404-321-6111
Fax Number
Provider Enumeration Date
04/28/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1670 Clairmont Rd
City
State
Zip
30033-4004
Phone Number
404-321-6111
Fax Number
person
Provider Business Mailing Address Details
Address
1670 Clairmont Rd
City
State
Zip
30033-4004
Phone Number
404-321-6111
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Medical Laboratory
Taxonomy
License No.
163311 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
License No.
163311 (Georgia)
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.
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