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
Last updated
May 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

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

Addresses

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

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124828652. Details of each certification follow.

Ambulatory surgical center certification: CCN 19C0001156

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Cardiology Specialists of Acadiana Ambulatory Center
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Aug 18, 2025
Last certification
Aug 18, 2025
Facility address
309 Rue Louis XIV
Lafayette, LA 70508

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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Verify at the official NPI Registry.