IMELDA S BULATAO MD
NPI 1114981602
Pathology - Anatomic Pathology & Clinical Pathology in Chattanooga, TN

Q: What is Imelda Bulatao's NPI number?

The NPI number for Imelda Bulatao is 1114981602. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Q: What is Imelda Bulatao's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Imelda Bulatao was last updated on September 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2006

2525 DESALES AVE, PATHOLOGY LABORATORY, CHATTANOOGA, TN 37404(423) 495-8703(423) 495-6175 Get Directions Write a Review

NPPES record last updated: September 28, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Imelda S Bulatao Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMELDA S BULATAO MD (NPI 1114981602) is an individual anatomic pathology & clinical pathology provider in Chattanooga, Tennessee, licensed in Tennessee (MD00040961) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1114981602

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameIMELDA S BULATAOCredential: MD

Location Address2525 DESALES AVE, PATHOLOGY LABORATORYChattanooga, TN 37404

Mailing AddressPo Box 3637, Attn Judy H NowlinChattanooga, TN 37404 · (423) 629-7688 · Fax (423) 495-6175

Phone(423) 495-8703

Fax(423) 495-6175

Sole ProprietorNo

Enumeration DateApril 13, 2006

Last NPPES UpdateSeptember 28, 2007

✔ NPI 1114981602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in TN · MD00040961

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 35906 (MN), R7H57 (MO)

2525 DESALES AVE, Chattanooga, TN 37404

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF05442

Medicare ID-Type Unspecified008179PA

Medicare PIN3338528TN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. COURTNEY ELIZABETH PEARSON PHARMD, MPH, BCPS

Pharmacist