HISTODERM GROUP LLC; NPI #1770451007

Contact Information

HISTODERM GROUP LLC

7091 SW 47TH ST STE C
MIAMI, FL 33155-4652

Phone: 305-934-5046
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Laboratory Management	246QL0900X

Indicates primary specialty

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NPI Profile & details for HISTODERM GROUP LLC

NPI Number	`1770451007`
LBN Legal business name	HISTODERM GROUP LLC
Authorized official	ISVETT MARTINEZ - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/28/2025
Last updated	10/28/2025 - About 7 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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HISTODERM GROUP LLC

Contact Information

Specialty

Laboratory Management

NPI Profile & details for HISTODERM GROUP LLC

Reviews for HISTODERM GROUP LLC