ZODIAC MEDICAL LLC
NPI 1083344576
Internal Medicine in Lawrenceville, GA

Active since June 16, 2022CLIA 11D2280549 · Waiver
1180 MCKENDREE CHURCH RD STE 202, LAWRENCEVILLE, GA 30043(470) 292-3122(404) 738-1614 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2025, Apr 30, 2024, Apr 11, 2023 and 3 more (6 updates tracked since 2022).

About Zodiac Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZODIAC MEDICAL LLC (NPI 1083344576), doing business as Advanced Medical Care, is a healthcare organization registered as an internal medicine in Lawrenceville, Georgia and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through April 20, 2027 and lists Dong Vien Dang, Owner, as its authorized official.

NPPES Registry Identity

NPI1083344576
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameZODIAC MEDICAL LLC
Location Address1180 MCKENDREE CHURCH RD STE 202Lawrenceville, GA 30043-5207
Mailing Address1180 Mckendree Church Rd Ste 202Lawrenceville, GA 30043-5207 · (470) 292-3122 · Fax (404) 738-1614
Fax(404) 738-1614
Organization SubpartNo
Authorized OfficialDong Vien DangOwner · (470) 633-1970
Enumeration DateJune 16, 2022
Last NPPES UpdateSeptember 12, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
NPI 1083344576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
1180 MCKENDREE CHURCH RD STE 202, Lawrenceville, GA 30043

Other Names 1

Doing Business AsAdvanced Medical Care

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2280549

Zodiac Medical LLC · Lawrenceville, GA
Active · expires Apr 20, 2027
CLIA Number11D2280549
Laboratory TypePhysician Office
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorDong V. Dang
Laboratory Phone(470) 292-3122
Laboratory LocationZodiac Medical LLC1180 Mckendree Church Road, Suite 202, Lawrenceville, GA 30043
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1180 MCKENDREE CHURCH RD STE 202
LAWRENCEVILLE, GA 30043
Internal Medicine (Critical Care Medicine)
1180 MCKENDREE CHURCH RD STE 202
LAWRENCEVILLE, GA 30043
General Practice
1180 MCKENDREE CHURCH RD STE 202
LAWRENCEVILLE, GA 30043

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zodiac Medical LLC's NPI number?

The NPI number for Zodiac Medical LLC is 1083344576. It was assigned to this organization in the NPPES registry on June 16, 2022. The provider is doing business as Advanced Medical Care.

Where is Zodiac Medical LLC located?

Zodiac Medical LLC is located at 1180 Mckendree Church Rd Ste 202, Lawrenceville, GA 30043. The listed phone number is (470) 292-3122.

What is Zodiac Medical LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Zodiac Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2280549) is associated with this NPI, valid through April 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Zodiac Medical LLC was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.