Healthcare Provider Details

I. General information

NPI: 1275364853
Provider Name (Legal Business Name): BIO SYSTEMS LABORATORY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2024
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 N WATSON RD STE 203
ARLINGTON TX
76006-6120
US

IV. Provider business mailing address

1201 N WATSON RD STE 203
ARLINGTON TX
76006-6120
US

V. Phone/Fax

Practice location:
  • Phone: 571-368-7930
  • Fax:
Mailing address:
  • Phone: 571-368-7930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: ANSAR JAVED DHILLOU
Title or Position: OWNER
Credential:
Phone: 571-368-7930