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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 Specialty Code Provider Type

Magnetic Resonance Imaging (MRI)

261QM1200X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JCC, LLC

NPI # 1144466293
LBN Legal business name JCC, LLC
Authorized official JACK CORNELL - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2008
Last updated 04/30/2025 - More than a year ago
Identifiers
OH Medicaid 3009112
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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