Healthcare Provider Details

I. General information

NPI: 1356038442
Provider Name (Legal Business Name): IMAGINEECHO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2023
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 EDGEMONT DR
DALY CITY CA
94015-3808
US

IV. Provider business mailing address

88 EDGEMONT DR
DALY CITY CA
94015-3808
US

V. Phone/Fax

Practice location:
  • Phone: 415-343-5817
  • Fax: 855-264-7861
Mailing address:
  • Phone: 415-343-5817
  • Fax: 855-264-7861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246W00000X
TaxonomyCardiology Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246XS1301X
TaxonomySonography Specialist/Technologist Cardiovascular
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code293D00000X
TaxonomyPhysiological Laboratory
License Number
License Number State

VIII. Authorized Official

Name: HESHAM HALTEH
Title or Position: OWNER, IMAGE DIRECTOR, SONOGRAPHER
Credential: BS, RDCS, CCT
Phone: 415-912-7376