Organization Active NPI

Thrive DX

  • Clinical Medical Laboratory
  • Irvine, CA
National Provider Identifier
1639093412
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
THRIVE DX
Practice address
17791 Sky Park Cir Ste H
Irvine, CA 92614-6118
Phone
(657) 237-6399
NPI assigned
Aug 5, 2026
Last updated
Aug 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Mr. Michael Blaksley
Title
Ceo/Owner
Phone
(657) 237-6399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

17791 Sky Park Cir Ste H
Irvine, CA 92614-6118

Mailing address

17791 Sky Park Cir Ste H
Irvine, CA 92614-6118
Phone (657) 237-6399

National Provider Directory

National Provider Directory

Locations

17791 Sky Park Cir
Ste H
Irvine, CA 92614
Phone (657) 237-6399

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1639093412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17791 SKY PARK CIR STE H",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146118",
            "telephone_number": "657-237-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17791 SKY PARK CIR STE H",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146118",
            "telephone_number": "657-237-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE DX",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "BLAKSLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "657-237-6399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.