Active NPI
Thrivelab LLC
- Clinical Medical Laboratory
- Laguna Hills, CA
National Provider Identifier
1245040252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CLF-90012746 | Other | CA | CDPH LFS |
| 05D2304140 | Other | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250331001034 | CA | Part B Supplier - Independent Clinical Laboratory | 5597288613 | Practice locations: Laguna Hills, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2304140 | Thrivelab LLC | Compliance | Apr 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.