PROF. ROY LEE MOREHEAD JR. (NPI# 1770725442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770725442 |
| Entity Type | Individual |
| Full Name | PROF. ROY LEE MOREHEAD JR. |
| Credential | CLS,ASCP,NCA,MPH |
| Practice Address |
801 S Cedar St Cortez CO 81321-4019 |
| Practice Telephone | 9705654441 |
| Mailing Telephone | 9705654441 |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
801 S CEDAR ST |
| City | CORTEZ |
| State | CO |
| Zip Code | 81321-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326667429 | Laurilyn Balfour Sturdevant | Dental Hygienist | 101 N Maple, Cortez, CO 81321 | 2020-04-09 |
| 1306231642 | Mesa View Retirement Home Inc. | Assisted Living Facility | 24760 County Road G, Cortez, CO 81321 | 2015-04-03 |
| 1528464765 | Patricia Nelson | Counselor | 691 E. Empire St., Cortez, CO 81321 | 2014-11-17 |
| 1417366808 | Summit Family Dental of Cortez, Pllc | Dentist | 111 S Sligo, Building A, Cortez, CO 81321 | 2014-08-11 |
| 1528480571 | Kelly Ogle | Registered Nurse | 17575 Road G, Cortez, CO 81321 | 2014-01-10 |
| 1316378821 | Beth A. Carter | Registered Nurse | 106 West North Street, Cortez, CO 81321 | 2013-12-09 |
| 1538596614 | Michael Daniel Grajeda | Physical Therapist | 111 N Park St Ste B, Cortez, CO 81321 | 2013-10-03 |
| 1275879876 | April L. Randle Md Inc | Internal Medicine | 215 Linden St, Suite D, Cortez, CO 81321 | 2012-12-31 |
| 1376827998 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 691 East Empire, Cortez, CO 81321 | 2011-09-30 |
| 1770879850 | Mark Holton | Marriage & Family Therapist | 1399 Cochita St, Cortez, CO 81321 | 2011-06-27 |
| Find all providers in zip 81321 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973794 | Donald Channing Cooper | Pathology | 10190 Bannock St Ste 102, Northglenn, CO 80260-6052 | 2020-05-09 |
| 1902104433 | Laura K Bechtel | Pathology | 4720 Forge Rd, Suite 108, Littleton, CO 80127 | 2011-03-08 |
| 1083178727 | Meng Su | Pathology | 12705 E Montview Blvd, Aurora, CO 80045-7108 | 2019-01-28 |
| 1922557073 | Mark Thomas | Pathology | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2016-09-30 |
| 1801288139 | Michelle Klein | Pathology | 730 W Hamden Ave, Suite 200, Englewood, CO 80110-2800 | 2015-02-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.