FELIPE EMILIO DOMINGUEZ
NPI 1255451712
Clinical Medical Laboratory in Melbourne, FL

Active since March 29, 2007PECOS Enrolled
3030 VENTURE LN, STE. 108, MELBOURNE, FL 32934(321) 253-5197(321) 253-5199 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 10, 2022, Nov 3, 2022, Oct 29, 2019 (3 updates tracked since 2019).

About Felipe Emilio Dominguez NPPES

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

FELIPE EMILIO DOMINGUEZ (NPI 1255451712) is an individual clinical medical laboratory provider in Melbourne, Florida, licensed in Florida (ME 48985) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255451712
Entity TypeIndividualMale
Primary Taxonomy291U00000X
Provider Legal NameFELIPE EMILIO DOMINGUEZ
Location Address3030 VENTURE LN, STE. 108Melbourne, FL 32934-8172
Mailing Address3030 Venture Ln, Ste 108Melbourne, FL 32934-8172 · (321) 253-5197 · Fax (321) 253-5199
Fax(321) 253-5199
Sole ProprietorYes
Enumeration DateMarch 29, 2007
Last NPPES UpdateNovember 10, 20223 updates tracked since enumeration
NPPES CertifiedNovember 10, 2022
✔ NPI 1255451712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License✔ Licensed in FL · ME 48985
Definition
(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 determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Also ListedPathology · Clinical PathologyTaxonomy 207ZC0006X · License ME48985 (FL)
3030 VENTURE LN, Melbourne, FL 32934

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Felipe Emilio Dominguez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Felipe Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Medical Laboratory
3030 VENTURE LN, STE 108
Melbourne, FL 32934
  • Reassigned Medicare billing, Florida enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Clinical Medical Laboratory
3030 VENTURE LN, STE 108
MELBOURNE, FL 32934

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Felipe Dominguez's NPI number?

The NPI number for Felipe Dominguez is 1255451712. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Felipe Dominguez located?

Felipe Dominguez practices at 3030 Venture Ln Ste. 108, Melbourne, FL 32934. The listed phone number is (321) 253-5197.

What is Felipe Dominguez's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is Felipe Dominguez enrolled in Medicare?

Yes. Felipe Dominguez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Felipe Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Felipe Dominguez reassigns Medicare benefits to Suncoast Pathology Associates Inc (Melbourne, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Felipe Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Felipe Dominguez accept?

Health plans from Ambetter Health and Ambetter of Alabama list Felipe Dominguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Felipe Dominguez was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.