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Organization
JOB, LLC
Active
Organization
JOB, LLC
Active
Other names
Elavita Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK GO (FOUNDER)
(775) 409-3917
Entity
Organization
Contact information
Practice address
4932 S VIRGINIA ST, RENO, NV 89502-6016
(775) 409-3917
Mailing address
4932 S VIRGINIA ST, RENO, NV 89502-6016
(775) 842-7162
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
2471C3402X
Radiography Radiologic Technologist
—
NULL
2471C3402X
Radiography Radiologic Technologist
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
NULL
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
09/16/2026
Last updated
09/16/2026
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