Organization
MOONLIGHT MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE CODIE DIAMOND (OWNER)
(725) 207-4335
Entity
Organization
Contact information
Practice address
3556 TUNDRA SWAN ST, LAS VEGAS, NV 89122-3501
(725) 207-4335
Mailing address
3556 TUNDRA SWAN ST, LAS VEGAS, NV 89122-3501
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
05/07/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us