Organization Active NPI

Thrive Medical Laboratory

  • Clinical Medical Laboratory
  • Houston, TX
National Provider Identifier
1427911957
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
THRIVE MEDICAL LABORATORY
Practice address
6111 FM 1960 Rd W
Houston, TX 77069-4112
Phone
(980) 277-1579
NPI assigned
Dec 3, 2025
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Benjamin Williamson
Title
Member
Phone
(239) 944-0249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6111 FM 1960 Rd W
Houston, TX 77069-4112

Mailing address

6111 FM 1960 Rd W
Houston, TX 77069-4112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260520003295 TX Part B Supplier - Independent Clinical Laboratory 7911476718 Practice locations: Houston, TX

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
45D2335171Thrive Medical Laboratory6111 FM 1960 Rd W, Ste 218, Houston, TX 77069RegistrationDec 7, 2027

National Provider Directory

National Provider Directory

Locations

6111 FM 1960 Rd W
Houston, TX 77069
Phone (980) 277-1579

NPI Registry JSON

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1427911957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694112",
            "telephone_number": "980-277-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE MEDICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "239-944-0249"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.