Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Executive Image Inc

Organization Portable X-ray and/or Other Portable Diagnostic Imaging Supplier · NPI 1588759849

Executive Image Inc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7820 N Point Blvd Ste 101
Winston Salem, NC 27106-3299
Phone: (336) 245-0647
Fax: (336) 245-0649
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier (primary) Taxonomy 335V00000X · Licence 600495328 (NC)

Record details

NPI number1588759849
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Goolsby — Owner · (336) 918-6328
NPI enumeratedOctober 4, 2006
Last updated in NPPESJanuary 15, 2015
Mailing address7820 N Point Blvd, Suite 101, Winston Salem, NC 27106-3299

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