Organization
MOLECULAR PATHOLOGY LABORATORY NETWORK INC
Active
Other names
Ascendant Medical Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER ALLAN HUBBARD PHD (OWNER, CEO)
(865) 380-9746
Entity
Organization
Contact information
Practice address
250 E BROADWAY AVE, MARYVILLE, TN 37804-5782
(865) 380-9746
(865) 273-1129
Mailing address
250 EAST BROADWAY AVE, MARYVILLE, TN 37804-5782
(865) 380-9746
(865) 380-9191
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0000003348
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404226
—
TN
01
—
4067281
BCBS PROVIDER NUMBER
TN
Enumeration date
07/27/2006
Last updated
09/02/2025
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