JCC LLC NPI 1144466293

NPI Information

  • NPI: 1144466293
  • Provider Name: JCC, LLC
  • Classification: Clinic/Center - 261QM1200X
  • Specialization: Magnetic Resonance Imaging (MRI)
  • Entity Type: Organization
  • :
  • Address: 5692 FAR HILLS AVE
    SUITE 1H
    DAYTON, OH
    ZIP 45429
  • Phone: (937) 438-3384

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NPI Details

JCC, LLC is a magnetic resonance imaging (mri) clinic center in Dayton, OH. JCC, LLC NPI is 1144466293. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

5692 FAR HILLS AVE
SUITE 1H
DAYTON, OH
ZIP 45429-202
Phone: (937) 438-3384
Fax: (937) 438-3394

The provider's authorized official is Jack Champney Cornell .
The authorized official title is President/ceo and has the following contact phone number (440) 223-8848.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Mri scan of brain before and after contrast (HCPCS:70553)

The enumeration date for this NPI number is 12/19/2008 and was last updated on 4/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyNo
2261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13009112MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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