Executive Image, Inc.
NPI 1326437989ActiveOrganization· Physiological Laboratory· Winston Salem, NC
Physiological Laboratory in Winston Salem, North Carolina, registered in NPPES in January 2015. The authorized official on file is Diana B. Goolsby, President/Ceo.
Overview
| NPI | 1326437989 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 20, 2015 |
| Last updated in NPPES | Jan 20, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physiological Laboratory providers in Winston Salem
- 1588010045
- 1326009457
- 1134350622