Domonique Moody, MLS, PBT is a
Pathology - Clinical Pathology/laboratory Medicine physician based in Highland Heights, Ohio. Domonique Moody is licensed to practice in Ohio (license number 253352) and her current practice location is 757 Alpha Dr Ste C, Highland Heights, Ohio. She can be reached at her office (for appointments etc.) via phone at
(347) 867-1188.
NPI number for Domonique Moody is 1821787367 and her current mailing address is 3636 E 151st St Apt 1, Cleveland, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821787367.
Physician's Profile
| Full Name | Domonique Moody |
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| Gender | Female |
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| Speciality | Pathology - Clinical Pathology/laboratory Medicine |
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| Location | 757 Alpha Dr Ste C, Highland Heights, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821787367
- Provider Enumeration Date: 05/02/2023
- Last Update Date: 05/02/2023
Medical Identifiers
Medical identifiers for Domonique Moody such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821787367 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 253352 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Domonique Moody is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Domonique Moody, MLS, PBT
3636 E 151st St Apt 1,
Cleveland, OH 44120-5172
Ph: (347) 867-1188 | Domonique Moody, MLS, PBT
757 Alpha Dr Ste C,
Highland Heights, OH 44143-2173
Ph: (347) 867-1188 |
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