Christine Theresa Bulot, PH.D., HCLD(ABB)

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Practice address

3810 Medical Pkwy Ste 253
Austin, TX 78756-4006

Phone

(504) 957-7003

NPI assigned

Feb 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Recon Diagnostics, Inc.

  • Clinical Medical Laboratory
  • Austin, TX
  • NPI 1073191177
  NPD
• Tevido Biodevices, Inc

  • Clinical Medical Laboratory
  • Austin, TX
  • NPI 1356931141
  NPD (past)

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1962096289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402A W PALM VALLEY BLVD # 105",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644237",
            "telephone_number": "504-957-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 MEDICAL PKWY STE 253",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787564006",
            "telephone_number": "504-957-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULOT",
        "first_name": "CHRISTINE",
        "middle_name": "THERESA",
        "credential": "PH.D., HCLD(ABB)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2023-01-12",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelda Marie Bullis, RN
• Alyn Bullock
• Anna Bullock, NNP
• April M Bullock, CPM, LM, NP-C
• Whitney Alliana Bulna, LCSW
• Paula Buls, LCSW
• Dilber Bulsara, BDS MPH
• Nicholas Bumacod
• Michelle Capalaran Bumactao, OTR
• Kenneth Bunch, M.D.

• Clinical Laboratory Director (Non-physician) in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Laboratory Director (Non-physician) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.