Pdi Dayton

LBN: Jcc, Llc
Pdi Dayton is an health care organization with primary practice located at 2591 Miamisburg Centerville Rd Ste 102 , Centerville OH 45459-3706. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI). Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) is the primary health care specialty. Jcc, Llc can be contacted via phone (937) 438-3384, or through Cornell, Jack Champney via phone (440) 223-8848.

Contact Information

Primary practice address
2591 Miamisburg Centerville Rd Ste 102 Centerville OH 45459-3706
Fax: (937) 438-3394
Website:
Authorized official contact:
Name: Cornell, Jack Champney

Profile Details

NPI number 1144466293
LBN Legal business name Jcc, Llc
DBA Doing business as Pdi Dayton
Authorized official Cornell, Jack Champney
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2008
Last updated Oct 9th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144466293 NPPES
Ohio MEDICAID 3009112

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