Individual provider · Type 1 NPI

Christine Theresa Bulot, PhD, HCLD(ABB)

Clinical Laboratory Director (Non-physician) · Austin, TX

NPI number 1962096289 Active

Practice location

3810 Medical Pkwy Ste 253
Austin, TX 78756-4006

Mailing address

402A W Palm Valley Blvd # 105
Round Rock, TX 78664-4237

Specialties and licenses

TaxonomyCodeLicense
Clinical Laboratory Director (Non-physician) Primary 247ZC0005XNone listed

Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

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About NPI 1962096289

Christine Theresa Bulot, PhD, HCLD(ABB)'s National Provider Identifier is 1962096289, issued on Feb 26, 2021. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Austin, TX. The record was last updated on Jan 12, 2023.