Individual provider · Type 1 NPI
Crystal Gayle Bullock
Clinical Medical Laboratory · Fairfax, VA
Practice location
9838 Fairfax Sq Apt 264
Fairfax, VA 22031-4238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Medical Laboratory Primary | 291U00000X | 49D2314134 (VA) |
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 det…
About NPI 1285437830
Crystal Gayle Bullock's National Provider Identifier is 1285437830, issued on Mar 29, 2025. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Fairfax, VA. The record was last updated on Mar 29, 2025.