MEDICARE: NOCTURNA SLEEP CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center	NV200412392004	NV
2	261QS1200X	Sleep Disorder Diagnostic Clinic/Center	265368	NV

General Provider Information

NPI Number	:	1184803801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOCTURNA SLEEP CENTER LLC

Provider Business Mailing Address
First Line	:	9077 S. PECOS RD.
Second Line	:	SUITE 3700
City	:	HENDERSON
State	:	NV
Zip	:	89074-7181
Country	:	US
Telephone Number	:	702-896-7378
Fax Number	:	702-897-8252

Provider Business Practice Location Address
First Line	:	7660 W CHEYENNE AVE STE 109
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6758
Country	:	US
Telephone Number	:	702-896-7378
Fax Number	:	702-897-8252

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINA MOLFETTA
Credential	:
Telephone Number	:	702-896-7378

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	05/11/2020

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