Beutner Labs Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

33D0670252 Issued in NY

Legal business name

BEUTNER LABS INC

Practice address

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

Phone

(716) 838-0549

Fax

(716) 838-0798

NPI assigned

Aug 19, 2005

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, PHD, (D)ABMLI, ABOMPNPI 1033067038

Title

Director

Phone

(716) 838-0549

Specialties & licenses 2

Addresses

Other identifiers 13

Other names 1

• Beutner Laboratories Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• KSL Diagnostics Inc

  • Clinical Medical Laboratory
  • Buffalo, NY
  • NPI 1528539459

  Member Of

  NPD member

Locations

Practitioners 5

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
• Raminder Grover

  • Clinical Laboratory Director (Non-physician)
  • Buffalo, NY
  • NPI 1487078499
  NPD (past)
• Patricia Ann Mowery-Rushton, PH.D

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

  • Clinical Medical Laboratory
  • Buffalo, NY
  • NPI 1770319741

  Clinical & Laboratory Immunology

  NPD (past)

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1780676304",
    "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",
            "fax_number": "716-838-0798"
        },
        {
            "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": "716-838-0549",
            "fax_number": "716-838-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEUTNER LABS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "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": "DIRECTOR",
        "authorized_official_telephone_number": "716-838-0549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, (D)ABMLI, ABOMP"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "33D0670252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01455283",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200003670A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERE",
            "identifier": "00011194801",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000511524002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MHP",
            "identifier": "30002218",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PFI",
            "identifier": "4365",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE/BC/BS",
            "identifier": "L13381BE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "1190336",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "33DD70252",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RMC",
            "identifier": "690009305",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "911446700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "1454348",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "Y044440",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beutner Laboratories",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shakena Ceola Betts, LPN
• Mary Kathleen Betz, P.A.
• Theresa Marie Betz, FNP-C
• John-David Campbell Beuhler, D.D.S.
• Ashley Ryann Beutel, ANP
• Rufus William Beverly Jr.
• Ashley Beyer
• Mary F. Beyer, CASAC
• Linda Beyley
• Jenna Bezilla

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.