Executive Image, Inc
Executive Image, Inc is a Physiological Laboratory in Winston Salem, North Carolina. Registered with an NPI since 2015.
- In the registry since
- 2015
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
470 W Hanes Mill Rd Ste 107Winston Salem, NC 27105-9102
Phone: (336) 918-6328
Fax: (800) 840-4241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physiological Laboratory (primary) | Taxonomy 293D00000X |
|---|
Record details
| NPI number | 1326437989 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Diana Goolsby — President/Ceo · (336) 918-6328 |
| NPI enumerated | January 20, 2015 |
| Last updated in NPPES | January 20, 2015 |
| Mailing address | 470 W Hanes Mill Rd, Suite 107, Winston Salem, NC 27105-9102 |
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