Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carlos R. Dominguez, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1447771019

Carlos R. Dominguez, MD is a Pathology in Salt Lake City, Utah. Qualified in 2013, 13 years ago. Practices with CHI Health Clinic Specialty LLC, a 312-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
13
Licensed in
UT
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15 N Medical Dr Ste 1100
Salt Lake City, UT 84112-1100
Phone: (801) 587-4563
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 940 Stanton L Young Blvd, Oklahoma City, OK 73104-5020 — (405) 271-2451

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 12248546-1205 (UT)

Record details

NPI number1447771019
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 4, 2017
Last updated in NPPESMay 31, 2021
Certification dateMay 31, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Chi Health Clinic Specialty Llc — 312 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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