EXECUTIVE IMAGE, INC. is a physiological laboratory in Winston Salem, NC. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. EXECUTIVE IMAGE, INC. NPI is 1326437989. The provider is registered as an organization entity type.
The provider's business location address is:
470 W HANES MILL RD
SUITE 107
WINSTON SALEM, NC
ZIP 27105-102
Phone: (336) 918-6328
Fax: (800) 840-4241
The provider's authorized official is Diana B Goolsby .
The authorized official title is President/ceo and has the following contact phone number (336) 918-6328.
The enumeration date for this NPI number is 1/20/2015 and was last updated on 1/20/2015.