Individual
JAY B MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHLEBOTOMY TECHNICIA
Contact information
Practice address
3605 CEDARBROOK RD, CLEVELAND HEIGHTS, OH 44118-3046
(216) 855-2658
(216) 284-2856
Mailing address
3605 CEDARBROOK RD, CLEVELAND HEIGHTS, OH 44118-3046
(216) 855-2658
(216) 284-2856
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
246RM2200X
Medical Laboratory Technician
—
OH
246RP1900X
Phlebotomy Technician
Primary
246RP1900X
OH
Other
Enumeration date
03/11/2017
Last updated
12/05/2025
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