JAY B MOODY PHLEBOTOMY TECHNICIA
NPI 1629519566
Technician, Pathology - Phlebotomy in Cleveland Heights, OH
Active since March 11, 2017
3605 CEDARBROOK RD, CLEVELAND HEIGHTS, OH 44118(216) 855-2658(216) 284-2856 Get Directions Write a Review
About Jay B Moody Phlebotomy Technicia NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAY B MOODY PHLEBOTOMY TECHNICIA (NPI 1629519566) is an individual phlebotomy provider in Cleveland Heights, Ohio, licensed in Ohio (246RP1900X) and active in the NPI registry since March 2017.
NPPES Registry Identity
NPI1629519566
Entity TypeIndividualMale
Primary Taxonomy246RP1900X
Provider Legal NameJAY B MOODYCredential: PHLEBOTOMY TECHNICIA
Location Address3605 CEDARBROOK RDCleveland Heights, OH 44118-3046
Mailing Address3605 Cedarbrook RdCleveland Heights, OH 44118-3046 · (216) 855-2658 · Fax (216) 284-2856
Phone(216) 855-2658
Fax(216) 284-2856
Sole ProprietorNo
Enumeration DateMarch 11, 2017
Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1629519566 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
License✔ Licensed in OH · 246RP1900X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedTechnician, Pathology · Medical LaboratoryTaxonomy 246RM2200X
3605 CEDARBROOK RD, Cleveland Heights, OH 44118
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629519566, enumerated as an "individual" on March 11, 2017.
The provider is located at 3605 CEDARBROOK RD CLEVELAND HEIGHTS, OH 44118 and the phone number is (216) 855-2658.
Technician, Pathology with taxonomy code 246RP1900X and a focus in Phlebotomy.
