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General NPI Number Information
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NPI Number | 1780676304
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Entity Type | Organization
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Legal Business Name | BEUTNER LABS INC
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 55 AMHERST VILLA RD STE 2
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City | BUFFALO
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State | NY
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Zip | 14225-1400
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Country | US
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Telephone | 716-838-0549
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Fax | 716-838-0798
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Provider Business Mailing Address
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Address Line | 55 AMHERST VILLA RD STE 2
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City | BUFFALO
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State | NY
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Zip | 14225-1400
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Country | US
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Telephone | 800-960-1080
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Fax | 716-838-0798
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. LAKSHMANAN SURESH
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Credential | PHD, (D)ABMLI, ABOMP
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Telephone | 716-838-0549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KI0005X
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Taxonomy Name | Clinical & Laboratory Immunology (Allergy & Immunology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 33D0670252
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License Number State | NY
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