Active NPI
Desert Moon Sleep Lab LLC
- Sleep Disorder Diagnostic Clinic/Center
- Las Vegas, NV
National Provider Identifier
1235172065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- Legal business name
- DESERT MOON SLEEP LAB LLC
- Doing business as
- DESERT MOON SLEEP LAB
- Practice address
- 2860 E Flamingo Rd Ste H
Las Vegas, NV 89121-5270 - Phone
- (702) 696-9002
- Fax
- (702) 696-9482
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Pedro Morales Durias II, RPSGT
- Title
- Owner/Lab Manager
- Phone
- (702) 696-9002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | Primary |
Addresses
Primary practice location
2860 E Flamingo Rd Ste H
Las Vegas, NV 89121-5270
Mailing address
2860 E Flamingo Rd Ste H
Las Vegas, NV 89121-5270
Phone (702) 696-9002
Other names 1
- DESERT MOON SLEEP LAB
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070210000066 | NV | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1658373220 | Practice locations: Las Vegas, NV |
National Provider Directory
National Provider DirectoryLocations
2860 E Flamingo Rd
Ste H
Las Vegas, NV 89121
Phone (702) 696-9002
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Henderson, NV
- NPI 1740221258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1235172065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 E FLAMINGO RD STE H",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215270",
"telephone_number": "702-696-9002",
"fax_number": "702-696-9482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 E FLAMINGO RD STE H",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215270",
"telephone_number": "702-696-9002",
"fax_number": "702-696-9482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT MOON SLEEP LAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A",
"authorized_official_last_name": "DURIAS",
"authorized_official_first_name": "PEDRO",
"authorized_official_middle_name": "MORALES",
"authorized_official_title_or_position": "OWNER/LAB MANAGER",
"authorized_official_telephone_number": "702-696-9002",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "RPSGT"
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DESERT MOON SLEEP LAB",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
- Desert Integrative Health LLC
- Desert Medical Clinic
- Desert Medical Equipment
- Desert Medical Eye Center Optical Shop
- Desert Medical Rehab LLC
- Desert Nephrology of Nevada, LLC
- Desert Neurology Associates, LLC
- Desert Neuromonitoring Group, LLC
- Desert Orthopaedic Billing LLC
- Desert Orthopaedic Center, LTD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.