institution
Executive Image, Inc.
Physiological Laboratory in Winston Salem, North Carolina
NPI 1326437989

Executive Image, Inc. is a Physiological Laboratory based in Winston Salem, NC. Executive Image, Inc. practices in Winston Salem, NC. The NPI Number for Executive Image, Inc. is 1326437989 and holds a License No. (North Carolina).

The current practice location address for Executive Image, Inc. is 470 W Hanes Mill Rd, Winston Salem, NC and can be reached out via phone at 336-918-6328 and via fax at 800-840-4241.

Location: 470 W Hanes Mill Rd, Winston Salem, NC, 27105-9102
institution
Provider Profile Details
NPI Number
1326437989
Provider Name
Executive Image, Inc.
Credential
Provider Entity Type
Organization
Address
470 W Hanes Mill Rd, Winston Salem, NC, 27105-9102
Phone Number
336-918-6328
Fax Number
800-840-4241
Provider Enumeration Date
01/20/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3409805 05 NC
2530321 01 MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
470 W Hanes Mill Rd
City
State
Zip
27105-9102
Phone Number
336-918-6328
Fax Number
800-840-4241
person
Provider Business Mailing Address Details
Address
470 W Hanes Mill Rd
City
State
Zip
27105-9102
Phone Number
336-918-6328
Fax Number
800-840-4241
person
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Physiological Laboratory
Speciality
-
Taxonomy
License No.
()
Definition
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.
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