Provider Demographics
NPI:1437373628
Name:HORIZON IMAGING, P.C.
Entity Type:Organization
Organization Name:HORIZON IMAGING, P.C.
Other - Org Name:COOSA IMAGING, P.C.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:B
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-401-4448
Mailing Address - Street 1:5700 SOUTHWYCK BLVD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-1509
Mailing Address - Country:US
Mailing Address - Phone:800-288-8325
Mailing Address - Fax:419-866-5453
Practice Address - Street 1:315 W HICKORY ST
Practice Address - Street 2:
Practice Address - City:SYLACAUGA
Practice Address - State:AL
Practice Address - Zip Code:35150-2913
Practice Address - Country:US
Practice Address - Phone:256-249-5000
Practice Address - Fax:256-249-5600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL171892085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1043215114OtherNPI - DR. SANDRA B. MARTI
AL1467457515OtherNPI - DR. GERALD D. KARCHER
ALL194OtherMEDICARE PTAN FOR GROUP
ALL194OtherMEDICARE PTAN FOR GROUP
ALH06542Medicare UPIN
AL1104821297OtherNPI - DR. PHILLIP A. TRIA
AL1205833761OtherDR MEAD'S NPI