Molecular Pathology Laboratory Network Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

0000003348 Issued in TN

Legal business name

MOLECULAR PATHOLOGY LABORATORY NETWORK INC

Practice address

250 E Broadway Ave
Maryville, TN 37804-5782

Phone

(865) 380-9746

Fax

(865) 273-1129

NPI assigned

Jul 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roger Allan Hubbard, PHD

Title

Owner, Ceo

Phone

(865) 380-9746

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ascendant Medical Laboratory Other name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1053335729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 EAST BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045782",
            "telephone_number": "865-380-9746",
            "fax_number": "865-380-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045782",
            "telephone_number": "865-380-9746",
            "fax_number": "865-273-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLECULAR PATHOLOGY LABORATORY NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-09-02",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "865-380-9746",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "0000003348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "4067281",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404226",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ascendant Medical Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sara Moadi, CCC-SLP
• Heather Moates
• Mandana Mobasseri-Maraghi
• Mobile Imaging Group, P.C.
• Alexis Mogg
• Brandie Molina
• Bridget Elizabeth Molloy, LPN
• Jamie B Monger, NP
• Monica T Ginart DMD Ms PLLC (Maryville Family Orthodontics)
• Christy M Monroe, LPN

• Clinical Medical Laboratory in Maryville, TN
• Providers in Maryville, TN by specialty
• Clinical Medical Laboratory in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.