Organization Active NPI

Cath Lab Ambulatory Center Cardiology Specialist of Acadiana, LLC

  • Ambulatory Surgical Clinic/Center
  • Lafayette, LA
National Provider Identifier
1124828652
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CATH LAB AMBULATORY CENTER CARDIOLOGY SPECIALIST OF ACADIANA, LLC
Practice address
309 Rue Louis Xiv
Lafayette, LA 70508-7050
Phone
(337) 269-9777
Fax
(337) 269-0244
NPI assigned
Mar 14, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
John Underwood
Title
VP Treasurer
Phone
(817) 948-3428

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2321278Cardiology Specialist of Acadiana309 Rue Louis Xiv, Lafayette, LA 70508RegistrationMar 31, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250708000707 LA Part B Supplier - Ambulatory Surgical Center 5496269953 Receives reassigned benefits from 12 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

309 Rue Louis Xiv
Lafayette, LA 70508
Phone (337) 214-5377

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

NPPES NPI Registry

Primary practice location

309 Rue Louis Xiv
Lafayette, LA 70508-7050

Mailing address

309 Rue Louis Xiv
Lafayette, LA 70508-5734
Phone (337) 269-9777

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2026.

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1124828652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 RUE LOUIS XIV",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085734",
            "telephone_number": "337-269-9777",
            "fax_number": "337-269-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 RUE LOUIS XIV",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087050",
            "telephone_number": "337-269-9777",
            "fax_number": "337-269-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATH LAB AMBULATORY CENTER CARDIOLOGY SPECIALIST OF ACADIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP TREASURER",
        "authorized_official_telephone_number": "817-948-3428"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.