Organization Active NPI

Thrivelab LLC

  • Clinical Medical Laboratory
  • Laguna Hills, CA
National Provider Identifier
1245040252
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
THRIVELAB LLC
Practice address
23276 S Pointe Dr Ste 101
Laguna Hills, CA 92653-1430
Phone
(949) 749-2165
NPI assigned
Jan 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Assal Rad
Title
Ceo
Phone
(949) 749-2165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

23276 S Pointe Dr Ste 101
Laguna Hills, CA 92653-1430

Mailing address

23276 S Pointe Dr Ste 101
Laguna Hills, CA 92653-1430
Phone (949) 749-2165

Other identifiers 2

IdentifierTypeStateIssuer
CLF-90012746OtherCACDPH LFS
05D2304140OtherCLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250331001034 CA Part B Supplier - Independent Clinical Laboratory 5597288613 Practice locations: Laguna Hills, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2304140Thrivelab LLC23276 S Pointe Dr, Ste 101, Laguna Hills, CA 92653ComplianceApr 28, 2027

National Provider Directory

National Provider Directory

Locations

23276 S Pointe Dr
Ste 101
Laguna Hills, CA 92653
Phone (949) 317-0637

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1245040252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23276 S POINTE DR STE 101",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531430",
            "telephone_number": "949-749-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23276 S POINTE DR STE 101",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531430",
            "telephone_number": "949-749-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVELAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "RAD",
        "authorized_official_first_name": "ASSAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-749-2165"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPH LFS",
            "identifier": "CLF-90012746",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D2304140",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.