JAY B. MOODY PHLEBOTOMY TECHNICIA – NPI #1629519566
Technician, Pathology

JAY MOODY is a pathology technician located in CLEVELAND HEIGHTS, OH. NPPES has assigned the NPI number 1629519566 to JAY MOODY on March 11, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 246RP1900X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology, specializing in Phlebotomy

The NPI profile was last updated on Dec 05, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAY MOODY below.

NPI Profile for
JAY B. MOODY

NPI Number
1629519566
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAY B. MOODY
Credentials
PHLEBOTOMY TECHNICIA
Primary location
3605 CEDARBROOK RD
CLEVELAND HEIGHTS, OH 44118-3046
Phone: (216) 855-2658 Fax: (216) 284-2856
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Dec 05, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
246RP1900X
- Technician, Pathology / Phlebotomy (Primary)
OH 246RP1900X
246RM2200X
- Technician, Pathology / Medical Laboratory
OH
171M00000X
- Case Manager/Care Coordinator

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.