| Name: | Horizon Imaging, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 04 Apr 2007 (18 years ago) |
| Entity Number: | 000-252-142 |
| Register Number: | 000252142 |
| Historical Names: |
Coosa Imaging, P.C.
|
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | VESTAVIA HILLS, AL |
| Registered Office Street Address: | 502 MONTGOMERY HWY STE 101VESTAVIA HILLS, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| Authorized Capital: | $10,000 |
Activities
IMAGING SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437373628 | 2007-04-12 | 2021-05-19 | 5700 SOUTHWYCK BLVD, TOLEDO, OH, 436141509, US | 315 W HICKORY ST, SYLACAUGA, AL, 351502913, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 800-288-8325 |
| Fax | 4198665453 |
| Phone | +1 256-249-5000 |
| Fax | 2562495600 |
Authorized person
| Name | DR. SANDRA B MARTIN |
| Role | MANAGING PARTNER |
| Phone | 2564014448 |
Taxonomy
| Taxonomy Code | 2085R0202X - Diagnostic Radiology Physician |
| License Number | 17189 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI - DR. SANDRA B. MARTI |
| Number | 1043215114 |
| State | AL |
| Issuer | NPI - DR. GERALD D. KARCHER |
| Number | 1467457515 |
| State | AL |
| Issuer | MEDICARE PTAN FOR GROUP |
| Number | L194 |
| State | AL |
| Name | Role |
|---|---|
| MEAD, MICHAEL C | Agent |
| Name | Role | Address |
|---|---|---|
| LEVITT, RONALD A | Incorporator | PO BOX 55727BIRMINGHAM, AL 35255-5727 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2007-07-18 | Capital Change | $1,000 Authorized --- Paid In | $10,000 Authorized undefined Paid In |
| 2007-06-11 | Name Change | Coosa Imaging, P.C. | Horizon Imaging, P.C. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
