Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CRYSTAL GAYLE BULLOCK
Active Sole ProprietorMS. CRYSTAL GAYLE BULLOCK is a Clinical Medical Laboratory healthcare provider located in FAIRFAX, Virginia. NPI 1285437830 is currently active in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · FAIRFAX, VA
Registration Details
- NPI Number
- 1285437830
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 29, 2025 (1.4136482869253 yrs)
- Last Updated
- Mar 29, 2025
- License
-
49D2314134 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9838 FAIRFAX SQ APT 264FAIRFAX, VA, 220314238Browse VA providers · Browse ZIP 22031
- Phone
- 9172148795
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.