Organization Active NPI

Desert Moon Sleep Lab LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1235172065
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
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

Updated by the provider on Sep 2, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070210000066 NV Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1658373220 Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.