Individual provider · Type 1 NPI

Jesse Dominguez

Technician/Technologist · Fort Wayne, IN

NPI number 1245198696 Active

Practice location

7970 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Call (260) 435-6100 Map

Mailing address

1131 Sinclair St
Fort Wayne, IN 46808-2647

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000X67047515A (IN)

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1245198696

Jesse Dominguez's National Provider Identifier is 1245198696, issued on Jan 14, 2026. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 14, 2026.