49D2011464 CLIA NUMBER - MEDI WEIGHTLOSS CLINICS

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Laboratory Demographics

CLIA Number: 49D2011464

Facility Name: MEDI WEIGHTLOSS CLINICS

Facility Address:
11551 NUCKOLS ROAD - SUITE C
GLEN ALLEN, VA
ZIP 23058
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Facility Phone Number: 804 888-6800

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1407232770

Taxonomy: 207QB0002X - Family Medicine
A family 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	49D2011464
LAB Type	Practitioner Other
Facility Name	MEDI WEIGHTLOSS CLINICS
Street	11551 NUCKOLS ROAD - SUITE C
City	GLEN ALLEN
State	VA
ZIP	23058
Phone	804 888-6800
CertificateType	4
CertificateEffectiveDate	8/17/2022
CertificateExpirationDate	8/16/2024
FacilityType	Waiver

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