1326437989 EXECUTIVE IMAGE, INC.
Physiological Laboratory
Active
Basic Information
- Organization Name
- EXECUTIVE IMAGE, INC.
- Enumeration Date
- January 20, 2015
- Last Update
- January 20, 2015
- Authorized Official
- DIANA B GOOLSBY
PRESIDENT/CEO
Phone: (336) 918-6328
Practice Location
- Address
- 470 W HANES MILL RD
SUITE 107
WINSTON SALEM, NC 271059102 - Phone
- (336) 918-6328
- Fax
- (800) 840-4241
Mailing Address
- Address
- 470 W HANES MILL RD
SUITE 107
WINSTON SALEM, NC 271059102 - Phone
- (336) 918-6328
- Fax
- (800) 840-4241
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | Physiological Laboratory | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409805 | 05 | NC | N/A |
| 2530321 | 01 | N/A | MEDICARE PTAN |
Frequently Asked Questions
What is EXECUTIVE IMAGE, INC.'s NPI number?
EXECUTIVE IMAGE, INC.'s NPI number is 1326437989.
Which doctor has NPI number 1326437989?
The doctor with NPI number 1326437989 is EXECUTIVE IMAGE, INC..
What is EXECUTIVE IMAGE, INC.'s practice address?
EXECUTIVE IMAGE, INC.'s practice address is 470 W HANES MILL RD, SUITE 107, WINSTON SALEM, NC, 271059102.
Which doctor practices at 470 W HANES MILL RD, SUITE 107, WINSTON SALEM, NC, 271059102?
EXECUTIVE IMAGE, INC. practices at 470 W HANES MILL RD, SUITE 107, WINSTON SALEM, NC, 271059102.
What is EXECUTIVE IMAGE, INC.'s phone number?
EXECUTIVE IMAGE, INC.'s phone number is (336) 918-6328.
Who is (336) 918-6328?
(336) 918-6328 is the phone number for EXECUTIVE IMAGE, INC..
What is EXECUTIVE IMAGE, INC.'s specialty?
EXECUTIVE IMAGE, INC.'s specialty is Physiological Laboratory.
What type of doctor is EXECUTIVE IMAGE, INC.?
EXECUTIVE IMAGE, INC. is a Physiological Laboratory.
Is EXECUTIVE IMAGE, INC. a Physiological Laboratory?
Yes, EXECUTIVE IMAGE, INC. is a Physiological Laboratory.
Is EXECUTIVE IMAGE, INC. still practicing?
Yes, EXECUTIVE IMAGE, INC. is currently practicing.
Is EXECUTIVE IMAGE, INC. accepting new patients?
EXECUTIVE IMAGE, INC. may be accepting new patients. Please call their office at (336) 918-6328 to inquire about availability.
Is NPI 1326437989 still active?
Yes, NPI 1326437989 is currently active.
Where does EXECUTIVE IMAGE, INC. practice?
EXECUTIVE IMAGE, INC. practices in WINSTON SALEM, NC.