MEDICARE: BIO SYSTEMS LABORATORY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1275364853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIO SYSTEMS LABORATORY, LLC

Provider Business Mailing Address
First Line	:	1201 N WATSON RD STE 203
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-6120
Country	:	US
Telephone Number	:	571-368-7930
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 N WATSON RD STE 203
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76006-6120
Country	:	US
Telephone Number	:	571-368-7930
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANSAR JAVED DHILLOU
Credential	:
Telephone Number	:	571-368-7930

Provider Enumeration Date	:	08/13/2024
Last Update Date	:	12/16/2025

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