Healthcare Provider Details

I. General information

NPI: 1962313072
Provider Name (Legal Business Name): JOB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4932 S VIRGINIA ST
RENO NV
89502-6016
US

IV. Provider business mailing address

4932 S VIRGINIA ST
RENO NV
89502-6016
US

V. Phone/Fax

Practice location:
  • Phone: 775-409-3917
  • Fax:
Mailing address:
  • Phone: 775-842-7162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2471C3402X
TaxonomyRadiography Radiologic Technologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: PATRICK GO
Title or Position: FOUNDER
Credential:
Phone: 775-409-3917