{
"Npi": {
"NPI": "1588088587",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AKRIVIS LABORATORIES LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1615 RASTON DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HAMMOND",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70403-6233",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "888-414-2832",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1402 S MAGNOLIA ST",
"SecondLinePracticeLocationAddress": "UNIT H",
"PracticeLocationAddressCityName": "HAMMOND",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70403-5020",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "888-414-2832",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/11/2014",
"LastUpdateDate": "10/28/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "THIGPEN",
"AuthorizedOfficialFirstName": "DAVID",
"AuthorizedOfficialMiddleName": "C",
"AuthorizedOfficialTitle": "MANAGER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "888-414-2832",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "291U00000X",
"TaxonomyName": "Clinical Medical Laboratory",
"LicenseNumber": "19D2072678",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}