JCC, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

JCC, LLC

Doing business as

Pdi North Dayton

Practice address

4160 Little York Rd
Suite 10
Dayton, OH 45414-5800

Phone

(216) 342-3064

Fax

(216) 342-4295

NPI assigned

Feb 20, 2013

Last updated

Jul 10, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jack Champney Cornell

Title

Ceo

Phone

(216) 765-8390

Specialties & licenses 1

Addresses

Other names 1

• PDI NORTH DAYTON Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1821338336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 LITTLE YORK RD",
            "address_2": "SUITE 10",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145800",
            "telephone_number": "216-342-3064",
            "fax_number": "216-342-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 LITTLE YORK RD",
            "address_2": "SUITE 10",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145800",
            "telephone_number": "216-342-3064",
            "fax_number": "216-342-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "CHAMPNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-765-8390"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDI NORTH DAYTON",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PDI NORTH DAYTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Jay, DO
• Vijay Kiran Jayanti, MD
• Larry Jaynes
• Michael William Jaynes
• JCC, LLC (Pdi Dayton)
• Jcorbittllc (Family First)
• JDS Medical Cabinet Training and Healthcare Services
• Kuthzie Maika Jeanty
• Amy Marie Jeffers, MD
• Jennifer Kaye Jeffers

• Magnetic Resonance Imaging (MRI) Clinic/Center in Dayton, OH
• Providers in Dayton, OH by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.