11D2296629 CLIA NUMBER - MENKE INVESTMENT INC DBA MEDI WEIGHTLOSS WOODSTOCK

Laboratory Demographics

CLIA Number: 11D2296629

Facility Name: MENKE INVESTMENT INC DBA MEDI WEIGHTLOSS WOODSTOCK

Facility Address:
13190 HIGHWAY 92, SUITE 110
WOODSTOCK, GA
ZIP 30188
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Facility Phone Number: 678 540-7827

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1023887684

Taxonomy: 207RB0002X - Internal Medicine
An internal medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.

CLIA Record

Field Name	Field Value
CLIA Number	11D2296629
LAB Type	Physician Office
Facility Name	MENKE INVESTMENT INC DBA MEDI WEIGHTLOSS WOODSTOCK
Street	13190 HIGHWAY 92, SUITE 110
City	WOODSTOCK
State	GA
ZIP	30188
Phone	678 540-7827
CertificateType	4
CertificateEffectiveDate	1/3/2024
CertificateExpirationDate	1/2/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024