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Organization
JCC, LLC
Active
Organization
JCC, LLC
Active
Other names
PDI NORTH DAYTON
Organization subpart
No
Provider details
NPI number
Authorized official
JACK CHAMPNEY CORNELL (CEO)
(216) 765-8390
Entity
Organization
Contact information
Practice address
4160 LITTLE YORK RD, SUITE 10, DAYTON, OH 45414-5800
(216) 342-3064
(216) 342-4295
Mailing address
4160 LITTLE YORK RD, SUITE 10, DAYTON, OH 45414-5800
(216) 342-3064
(216) 342-4295
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/20/2013
Last updated
07/10/2019
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