IndividualActive
Alphonsus Agbaere, MT(ASCP)CLS(NCA)
NPI 1760626279 · Clinical Laboratory Director (Non-physician) · Decatur, GA
Provider details
- NPI number
- 1760626279
- Entity type
- Individual
- Primary specialty
- Clinical Laboratory Director (Non-physician)Technologists, Technicians & Other Technical Service Providers
- Credential
- MT(ASCP)CLS(NCA)
- Sex
- Male
- Sole proprietor
- No
- License
- 163311 (GA)
Mailing address
2222 Columbia Dr
Decatur, GA 30032-7206
Registry dates
- Enumerated
- 2009-04-28
- Last updated
- 2009-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.