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EXECUTIVE IMAGE INC
NPI 1588759849
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Winston Salem, NC

Active since October 04, 2006
7820 N POINT BLVD, SUITE 101, WINSTON SALEM, NC 27106(336) 245-0647(336) 245-0649 Get Directions Write a Review

NPPES record last updated: January 15, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Executive Image Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXECUTIVE IMAGE INC (NPI 1588759849) is a healthcare organization registered as a portable x-ray and/or other portable diagnostic imaging supplier in Winston Salem, North Carolina and active in the NPI registry since October 2006. The organization lists Diana Goolsby, Owner, as its authorized official.

NPPES Registry Identity

NPI1588759849
Entity TypeOrganization
Primary Taxonomy335V00000X
Legal Business NameEXECUTIVE IMAGE INC
Location Address7820 N POINT BLVD, SUITE 101Winston Salem, NC 27106-3299
Mailing Address7820 N Point Blvd, Suite 101Winston Salem, NC 27106-3299 · (336) 245-0647 · Fax (336) 245-0649
Phone(336) 245-0647
Fax(336) 245-0649
Organization SubpartNo
Authorized OfficialDiana GoolsbyOwner · (336) 918-6328
Enumeration DateOctober 4, 2006
Last NPPES UpdateJanuary 15, 2015
✔ NPI 1588759849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPortable X-ray and/or Other Portable Diagnostic Imaging SupplierSuppliers
Taxonomy Code335V00000X
License✔ Licensed in NC · 600495328
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
7820 N POINT BLVD, Winston Salem, NC 27106
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Other Identifiers 3

Medicaid3409805NC
Medicare ID-Type Unspecified2530321NC · Medicare
OtherP00245445NC · Medicare Railroad

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUALITY MOBILE X-RAY, INC
Physiological Laboratory
7820 N POINT BLVD, SUITE 101
WINSTON SALEM, NC 27106
Forsyth County (336) 245-0647
MOBILE VISIONS INS
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
7820 N POINT BLVD, SUITE 101
WINSTON SALEM, NC 27106
Forsyth County (336) 245-0647

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Executive Image Inc's NPI number?

The NPI number for Executive Image Inc is 1588759849. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Executive Image Inc located?

Executive Image Inc is located at 7820 N Point Blvd Suite 101, Winston Salem, NC 27106. The listed phone number is (336) 245-0647.

What is Executive Image Inc's specialty?

The primary specialty registered for this NPI is Portable X-ray and/or Other Portable Diagnostic Imaging Supplier with taxonomy code 335V00000X.

When was this NPI record last updated?

The NPPES record for Executive Image Inc was last updated on January 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.