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MEDI-WEIGHTLOSS CLINIC
NPI 1497127260
Family Medicine - Obesity Medicine in West Hartford, CT

Active since October 20, 2015CLIA 07D2071537 · Waiver
1001 FARMINGTON AVE, WEST HARTFORD, CT 06107(860) 213-8365 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Medi-weightloss Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDI-WEIGHTLOSS CLINIC (NPI 1497127260) is a healthcare organization registered as an obesity medicine in West Hartford, Connecticut and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Luiza F Petre, Owner, as its authorized official.

NPPES Registry Identity

NPI1497127260
Entity TypeOrganization
Primary Taxonomy207QB0002X
Legal Business NameOPTIMAL WELLNESS OF WEST HARTFORD,LLC
Location Address1001 FARMINGTON AVEWest Hartford, CT 06107-2135
Mailing Address1001 Farmington AveWest Hartford, CT 06107-2135 · (860) 213-8365
Phone(860) 213-8365
Organization SubpartNo
Authorized OfficialLuiza F PetreOwner · (212) 553-2700
Enumeration DateOctober 20, 2015
✔ NPI 1497127260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QB0002X
License✔ Licensed in CT · 207Q00000X
Definition
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.
Also ListedInternal Medicine · Obesity MedicineTaxonomy 207RB0002X · License 207R00000X
1001 FARMINGTON AVE, West Hartford, CT 06107
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Other Names 1

Doing Business AsMedi-weightloss Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2071537

Optimal Wellness Of West Hartford, LLC · West Hartford, CT
Active · expires Jan 13, 2028
CLIA Number07D2071537
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorLuiza F. Petre
Laboratory Phone(860) 213-8365
Laboratory LocationOptimal Wellness Of West Hartford, LLC1001 Farmington Ave Suite 304, West Hartford, CT 06107
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MCH/RUSSELL ASSOCIATES,LLC
Counselor (Mental Health)
1001 FARMINGTON AVE, SUITE 304
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 561-4841
MS. JESSICA L HAGGETT APRN
Nurse Practitioner (Family)
1001 FARMINGTON AVE
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 213-8365
CHELI LANGE LPC
Counselor (Mental Health)
1001 FARMINGTON AVE, SUITE 304
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 561-4841
AARON MELE R.D., CDN
Dietitian, Registered
1001 FARMINGTON AVE
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 213-8365
DR. KERRI LYNN CRANFORD BAKER PSY.D.
Psychologist (Clinical)
1001 FARMINGTON AVE, SUITE 304
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 561-4841
CT COMPREHENSIVE MEDICAL PLLC
Family Medicine (Obesity Medicine)
1001 FARMINGTON AVE
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 213-8365
DR. DAVID MICHAEL RUSSELL PH.D.
Psychologist (Clinical)
1001 FARMINGTON AVE, SUITE 304
WEST HARTFORD, CT 06107
Capitol Planning Region (860) 561-4841

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optimal Wellness Of West Hartford,llc's NPI number?

The NPI number for Optimal Wellness Of West Hartford,llc is 1497127260. It was assigned to this organization in the NPPES registry on October 20, 2015. The provider is doing business as Medi-Weightloss Clinic.

Where is Optimal Wellness Of West Hartford,llc located?

Optimal Wellness Of West Hartford,llc is located at 1001 Farmington Ave, West Hartford, CT 06107. The listed phone number is (860) 213-8365.

What is Optimal Wellness Of West Hartford,llc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Obesity Medicine, with taxonomy code 207QB0002X.

Does Optimal Wellness Of West Hartford,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2071537) is associated with this NPI, valid through January 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Optimal Wellness Of West Hartford,llc was last updated on October 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.