Moleculab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MOLECULAB LLC

Practice address

13027 Hwy 155 S Ste 400
Tyler, TX 75703-6560

Phone

(985) 646-8014

NPI assigned

Nov 5, 2024

Last updated

Apr 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles V Guilbault

Title

Owner

Phone

(504) 296-7859

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Advanta Genetics LLC

  dba Advanta Analytical Laboratories

  • Clinical Medical Laboratory
  • Tyler, TX
  • NPI 1134559685

  Member Of

  NPD member
• Histology Associates Inc

  dba Acculab Dx

  • Clinical Medical Laboratory
  • Garden City, MI
  • NPI 1649273459

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1649093931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13027 HWY 155 S STE 400",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036560",
            "telephone_number": "985-646-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13027 HWY 155 S STE 400",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757036560",
            "telephone_number": "985-646-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLECULAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "GUILBAULT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-296-7859"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth N Modene, NP
• Modified Barium Swallow Service, P.a.
• Xavier Moffitt, DC
• Rachael Ekwevugbe Mofoye
• Ancelmo Mojarro, PTA
• Paul Molina, PT, DPT
• Rocio Molina
• Momentum DME, LLC
• Momentum ER Physicians PLLC
• Momentum Urgent Care, PLLC (Momentum Urgent Care)

• Clinical Medical Laboratory in Tyler, TX
• Providers in Tyler, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.