MOLECULAR PATHOLOGY LABORATORY NETWORK INC (NPI# 1053335729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053335729 |
| Entity Type | Organization |
| Organization Name | MOLECULAR PATHOLOGY LABORATORY NETWORK INC |
| Other Organization Name | ASCENDANT MEDICAL LABORATORY |
| Practice Address |
250 E Broadway Ave Maryville TN 37804-5782 |
| Mailing Address |
250 East Broadway Ave Maryville TN 37804-5782 |
| Practice Telephone | 8653809746 |
| Practice Fax Number | 8653809191 |
| Mailing Telephone | (865) 380-9746 |
| Mailing Fax Number | 8653809191 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2017-09-21 |
| Authorized Official Name | ROGER ALLAN HUBBARD (OWNER, CEO) |
| Authorized Official Telephone | 8653809746 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 0000003348 | TN | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS PROVIDER NUMBER | 4067281 | 01 |
| TN | 3404226 | 05 |
| Other Name | Type Code |
|---|---|
| Ascendant Medical Laboratory | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568694016 | Molecular Pathology Laboratory Network Inc | Clinical Medical Laboratory | 1451 Dowell Springs Blvd, Suite 101, Knoxville, TN 37909-2450 | 2009-08-18 |
| Street Address |
250 E BROADWAY AVE |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-5782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174599419 | Nicholas T Potter | Medical Genetics | 250 E Broadway Ave, Maryville, TN 37804-5782 | 2006-02-27 |
| 1114239308 | Jonathan L Klein | Pathology | 250 E Broadway Ave, Maryville, TN 37804-5782 | 2010-07-05 |
| 1669691838 | Mark S. Stonecypher | Pathology | 250 E Broadway Ave, Mpln, Maryville, TN 37804-5782 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1841846136 | State of Franklin Healthcare Associates Pllc | Clinical Medical Laboratory | 215 E Springbrook Dr, Johnson City, TN 37601-1761 | 2019-08-13 |
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| Find all providers with the same taxonomy | ||||
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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.