Active NPI
JCC, LLC
Doing business as Pdi Dayton
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- JCC, LLC
- Doing business as
- Pdi Dayton
- Practice address
- 5692 Far Hills Ave
Suite 1H
Dayton, OH 45429-2202 - Phone
- (937) 438-3384
- Fax
- (937) 438-3394
- NPI assigned
- Dec 19, 2008
- Last updated
- Apr 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jack Champney Cornell
- Title
- President/Ceo
- Phone
- (440) 223-8848
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | NU | Primary | |
| Diagnostic Radiology Physician | 2085R0202X | NU |
Addresses
Primary practice location
5692 Far Hills Ave
Suite 1H
Dayton, OH 45429-2202
Mailing address
15371 Hemlock Point Road
Chagrin Falls, OH 44022-3801
Phone (855) 734-2645
Other practice location 1
2591 Miamisburg Centerville Rd Ste 102
Centerville, OH 45459-3706
Phone (937) 438-3384
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3009112 | Medicaid | OH |
Other names 1
- PDI DAYTON
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, GA
Enrollment records 2
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Pdi South
- Body Imaging Physician
- Cleveland, OH
- NPI 1164726360
Member Of
Locations
Dept AT 952550
Atlanta, GA 31192
5192 Chillicothe Rd
Ste 102
Chagrin Falls, OH 44022
Phone (440) 338-8959
5692 Far Hills Ave
Ste 1H
Dayton, OH 45429
Phone (937) 438-3384
800 Pike St
Ste 1
Marietta, OH 45750
Phone (740) 374-7500
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1609850353
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Columbus, OH
- NPI 1760298251
-
- Diagnostic Radiology Physician
- Wexford, PA
- NPI 1083642235
-
- Diagnostic Radiology Physician
- Coral Gables, FL
- NPI 1801830229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745971200000",
"number": "1144466293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15371 HEMLOCK POINT ROAD",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "440223801",
"telephone_number": "855-734-2645",
"fax_number": "855-734-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5692 FAR HILLS AVE",
"address_2": "SUITE 1H",
"city": "DAYTON",
"state": "OH",
"postal_code": "454292202",
"telephone_number": "937-438-3384",
"fax_number": "937-438-3394"
}
],
"practiceLocations": [
{
"address_1": "2591 Miamisburg Centerville Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "454593706",
"country_code": "US",
"telephone_number": "937-438-3384",
"fax_number": "937-438-3394",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JCC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-19",
"last_updated": "2025-04-30",
"certification_date": "2025-04-29",
"status": "A",
"authorized_official_last_name": "CORNELL",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "CHAMPNEY",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "440-223-8848"
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3009112",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PDI DAYTON",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PDI DAYTON",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.