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

Histoderm Group LLC

Organization Laboratory Management Specialist/Technologist · NPI 1770451007

Histoderm Group LLC is a Laboratory Management Specialist/Technologist in Miami, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

7091 SW 47th St Ste C
Miami, FL 33155-4652
Phone: (305) 934-5046
Show map & directions

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

Specialties & licences

Laboratory Management Specialist/Technologist (primary) Taxonomy 246QL0900X

Record details

NPI number1770451007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Isvett Martinez — Owner · (305) 934-5046
NPI enumeratedOctober 28, 2025
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025
Mailing address7091 Sw 47th St Ste C, Miami, FL 33155-4652