{
"Npi": {
"NPI": "1982560702",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CLEARHIVE LABS",
"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": "113 W FIRE TOWER RD STE G",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WINTERVILLE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28590-8414",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "252-378-7509",
"MailingAddressFaxNumber": "252-378-9114",
"FirstLinePracticeLocationAddress": "113 W FIRE TOWER RD STE G",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WINTERVILLE",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28590-8414",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "252-378-7509",
"PracticeLocationAddressFaxNumber": "252-378-9114",
"EnumerationDate": "12/26/2025",
"LastUpdateDate": "12/26/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DIXON",
"AuthorizedOfficialFirstName": "KAYLA",
"AuthorizedOfficialMiddleName": "NICOLE",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "252-378-7509",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "291U00000X",
"TaxonomyName": "Clinical Medical Laboratory",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}