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HISTODERM GROUP LLC
NPI 1770451007
Specialist/Technologist, Pathology - Laboratory Management in Miami, FL

Active since October 28, 2025
7091 SW 47TH ST STE C, MIAMI, FL 33155(305) 934-5046 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Histoderm Group Llc NPPES

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

HISTODERM GROUP LLC (NPI 1770451007) is a healthcare organization registered as a laboratory management in Miami, Florida and active in the NPI registry since October 2025. The organization lists Isvett Martinez, Owner, as its authorized official.

NPPES Registry Identity

NPI1770451007
Entity TypeOrganization
Primary Taxonomy246QL0900X
Legal Business NameHISTODERM GROUP LLC
Location Address7091 SW 47TH ST STE CMiami, FL 33155-4652
Mailing Address7091 Sw 47th St Ste CMiami, FL 33155-4652 · (305) 934-5046
Phone(305) 934-5046
Organization SubpartNo
Authorized OfficialIsvett MartinezOwner · (305) 934-5046
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1770451007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Pathology · Laboratory ManagementTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246QL0900X
7091 SW 47TH ST STE C, Miami, FL 33155
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Histoderm Group LLC's NPI number?

The NPI number for Histoderm Group LLC is 1770451007. It was assigned to this organization in the NPPES registry on October 28, 2025.

Where is Histoderm Group LLC located?

Histoderm Group LLC is located at 7091 SW 47th St Ste C, Miami, FL 33155. The listed phone number is (305) 934-5046.

What is Histoderm Group LLC's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Laboratory Management, with taxonomy code 246QL0900X.

When was this NPI record last updated?

The NPPES record for Histoderm Group LLC was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.