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Executive Image Inc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Winston Salem, North Carolina
NPI 1588759849

Executive Image Inc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Winston Salem, NC. Executive Image Inc practices in Winston Salem, NC. The NPI Number for Executive Image Inc is 1588759849 and holds a License No. 600495328 (North Carolina).

The current practice location address for Executive Image Inc is 7820 N Point Blvd, Winston Salem, NC and can be reached out via phone at 336-245-0647 and via fax at 336-245-0649.

Location: 7820 N Point Blvd, Winston Salem, NC, 27106-3299
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588759849
Provider Name
Executive Image Inc
Credential
Provider Entity Type
Organization
Address
7820 N Point Blvd, Winston Salem, NC, 27106-3299
Phone Number
336-245-0647
Fax Number
336-245-0649
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
P00245445 01 NC MEDICARE RAILROAD
3409805 05 NC
institution
Provider Business Practice Location Address Details
Address
7820 N Point Blvd
City
Winston Salem
State
North Carolina
Zip
27106-3299
Phone Number
336-245-0647
Fax Number
336-245-0649
person
Provider Business Mailing Address Details
Address
7820 N Point Blvd
City
Winston Salem
State
North Carolina
Zip
27106-3299
Phone Number
336-245-0647
Fax Number
336-245-0649
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
600495328 (North Carolina)
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.
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