CARDIOVASCULAR INSTITUTE OF THE SOUTH ASC, LLC — NPI 1033734785 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in GRAY, LA)

CMS-1500 Box 24J / 33a • NPI

1033734785

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QA1903X (CMS 49)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

191 INNOVATION COURT, GRAY, LA, 70359

Official NPPES Practice Location

Practice Phone & Referral Fax

(985) 876-0300

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1033734785 (CARDIOVASCULAR INSTITUTE OF THE SOUTH ASC, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1033734785` (NPI-2 Organization / Facility)
Provider / Legal Name	CARDIOVASCULAR INSTITUTE OF THE SOUTH ASC, LLC
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QA1903X` (Clinic/Center, Ambulatory Surgical)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	191 INNOVATION COURT, GRAY, LA, 70359
Practice Telephone / Fax	Tel: (985) 876-0300
Administrative Mailing Address	PO BOX 4176, HOUMA, LA, 70361-4176
Enumeration & Last Sync	Enumerated: 2020-06-09 \| CMS Record Updated: 2020-06-09
Authorized Official	DAVID KONUR (Chief Executive Officer)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

191 INNOVATION COURT, GRAY, LA, 70359

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Plain-English Taxonomy & CMS Crosswalk (261QA1903X)

What Does Taxonomy Code 261QA1903X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QA1903X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 49 (Ambulatory Surgical Center)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CARDIOVASCULAR INSTITUTE OF THE SOUTH ASC, LLC)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QA1903X` — Clinic/Center, Ambulatory Surgical Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CARDIOVASCULAR INSTITUTE OF THE SOUTH ASC, LLC (NPI #1033734785)