National Provider Identifier Database

JCC LLC
Magnetic Resonance Imaging (MRI)


Contact Information

JCC, LLC
5692 FAR HILLS AVE
SUITE 1H
DAYTON, OH45429-2202
Phone: 937-438-3384
Fax: 937-438-3394
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging (MRI) 261QM1200X
Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for JCC, LLC

NPI Number 1144466293
Legal business name
LBN
JCC, LLC
Authorized official JACK CORNELL - (PRESIDENT/CEO)
Entity Organization
Organization subpart No
Enumeration date 12/19/2008
Last updated 04/30/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • OH Medicaid: 3009112

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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