Provider Demographics
NPI:1609020379
Name:NORLIVO INTERNAL MEDICINE PLLC
Entity Type:Organization
Organization Name:NORLIVO INTERNAL MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMADEO
Authorized Official - Middle Name:ROMULO
Authorized Official - Last Name:STURLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-442-1400
Mailing Address - Street 1:20311 FARMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1411
Mailing Address - Country:US
Mailing Address - Phone:248-442-1400
Mailing Address - Fax:248-442-1404
Practice Address - Street 1:20311 FARMINGTON RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1411
Practice Address - Country:US
Practice Address - Phone:248-442-1400
Practice Address - Fax:248-442-1404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-07
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301036213207R00000X
MI4301046971207R00000X
MI4301069477207RC0000X
MI4301027308207RG0100X
MI43010317392084N0400X
MI43010328402085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI21575OtherCOLA
MI2813825Medicaid
MI23D1103230OtherCLIA
MI11-0-H2-4201-0OtherBLUE CROSS BLUE SHIELD
MIMI1270Medicare PIN