Livonia Life Center Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LIVONIA LIFE CENTER CORP

Practice address

34441 8 Mile Rd
Suite 104
Livonia, MI 48152-4013

Phone

(248) 442-0662

Fax

(248) 442-0663

NPI assigned

Feb 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angel Merino

Title

Owner

Phone

(734) 686-2036

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417092180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34441 8 MILE RD",
            "address_2": "SUITE 104",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524013",
            "telephone_number": "248-442-0662",
            "fax_number": "248-442-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34441 8 MILE RD",
            "address_2": "SUITE 104",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524013",
            "telephone_number": "248-442-0662",
            "fax_number": "248-442-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVONIA LIFE CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERINO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-686-2036"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Livonia, MI
• Providers in Livonia, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.