Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Executive Image, Inc.

Physiological Laboratory in Winston Salem, NC · enumerated 2015 · authorized official Diana Goolsby, President/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1326437989

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Registry record

Entity type Organization (Type 2)

Legal business name Executive Image, Inc.

Practice address 470 W Hanes Mill Rd, Suite 107, Winston Salem, NC, 27105

Phone (336) 918-6328

Fax (800) 840-4241

Enumeration date Jan 20, 2015

Last updated in NPPES Jan 20, 2015

Taxonomy & classification

293D00000X Physiological Laboratory Laboratories Primary

Authorized official

Name Diana Goolsby

Title President/Ceo

Phone (336) 918-6328

Other identifiers

Identifier	Type	State	Issuer
3409805	Medicaid	NC	-
2530321	Other	-	MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-01-20. Verify at npiregistry.cms.hhs.gov.

Where is Executive Image, Inc. located?

The practice location on file with NPPES is in Winston Salem, NC.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-01-20.