Just want to add my 2c:
the thrust bearing will basically just be there to locate the shaft.
The axial thrust from intake impellor will be more or less cancelled out be the thrust from exhaust impellor so very small thrust forces.
The main thing to think about is the orientation of the oil system.(as previously described.)
most good turbos are "rated" to 250 000 rpm

and if you get any oil stavation the bearings will fail very quickly. Bearings start to fail -> increase internal clearances -> very smokey!
The manufacturers will spend $$$ to get the oil system right, so its best to use the same turbo orientation as the vehicle the turbo is from. Some may be ok at a few different angles, but becareful.
P.S: I am an engineer with a bearing company.