KSL Diagnostics Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

KSL DIAGNOSTICS INC

Practice address

55 Amherst Villa Rd Ste 2
Buffalo, NY 14225-1400

Phone

(800) 960-1080

NPI assigned

Dec 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Lakshmanan Suresh, DDS, MS,PHD.NPI 1033067038

Title

Cso

Phone

(800) 960-1080

Specialties & licenses 1

Addresses

Other names 1

• KSL Beutner Laboratories Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Beutner Labs Inc

  • Clinical Medical Laboratory
  • Buffalo, NY
  • NPI 1780676304

  Member Of

  NPD member

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lakshmanan Suresh, DDS, MS, PHD

  • Clinical Pathology/Laboratory Medicine Physician
  • Buffalo, NY
  • NPI 1033067038
  NPD Authorized official
• John Joseph Rushton Jr., PH.D.

  • Clinical Molecular Genetics Physician
  • Buffalo, NY
  • NPI 1437908530
  NPD
• Patricia Ann Mowery-Rushton, PH.D

  • Clinical Cytogenetics Physician
  • Buffalo, NY
  • NPI 1447443817
  NPD (past)
• Long Shen

  • Clinical Medical Laboratory
  • Buffalo, NY
  • NPI 1770319741
  NPD (past)

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1528539459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 AMHERST VILLA RD STE 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251400",
            "telephone_number": "800-960-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 AMHERST VILLA RD STE 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251400",
            "telephone_number": "800-960-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSL DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "SURESH",
        "authorized_official_first_name": "LAKSHMANAN",
        "authorized_official_title_or_position": "CSO",
        "authorized_official_telephone_number": "800-960-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS,PHD."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@ksldx.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "55 Amherst Villa Rd Ste 2",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142251400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "KSL Beutner Laboratories",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher Michael Krysztofowicz, LCSW
• Marissa J Krzyzan, FNP
• Ryan Krzyzanowicz, ATC
• Sarah Marie Krzyzanowicz, ATC
• Nicole Ksiazek, PA
• Maria Therese Kubiak
• Monika D Kubiak
• Anita R Kubik, M.A., CCC-SLP
• Tammy Kublas
• Jon C Kucera, MD

• Clinical Medical Laboratory in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.