MEDICARE: BEUTNER LABS INC

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	207KI0005X	Clinical & Laboratory Immunology (Allergy & Immunology) Physician
2	291U00000X	Clinical Medical Laboratory	33D0670252	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	00011194801	OTHER		UNIVERE
4	000511524002	OTHER		BLUE CROSS
5	30002218	OTHER		KEYSTONE MHP
6	4365	OTHER	NY	PFI
7	L13381BE	OTHER		EMPIRE/BC/BS
8	1190336	OTHER		IHA
9	33DD70252	OTHER		CLIA
10	690009305	OTHER		RMC
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	1454348	OTHER		UNITED MINE WORKERS
13	Y044440	OTHER		CHAMPUS

General Provider Information

NPI Number	:	1780676304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEUTNER LABS INC

Provider Business Mailing Address
First Line	:	55 AMHERST VILLA RD STE 2
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14225-1400
Country	:	US
Telephone Number	:	800-960-1080
Fax Number	:	716-838-0798

Provider Business Practice Location Address
First Line	:	55 AMHERST VILLA RD STE 2
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14225-1400
Country	:	US
Telephone Number	:	716-838-0549
Fax Number	:	716-838-0798

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. LAKSHMANAN SURESH
Credential	:	PHD, (D)ABMLI, ABOMP
Telephone Number	:	716-838-0549

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	06/20/2025

Similar Medicare Providers

1447443817 — DR. PATRICIA ANN MOWERY-RUSHTON PH.D
Practice Location Address:

55 AMHERST VILLA RD
BUFFALO, NY
14225-1400

Practice Phone: 716-710-7080
Practice Fax:

1528539459 — KSL DIAGNOSTICS INC
Practice Location Address:

55 AMHERST VILLA RD STE 2
BUFFALO, NY
14225-1400

Practice Phone: 800-960-1080
Practice Fax:

1437908530 — DR. JOHN JOSEPH RUSHTON JR. PH.D.
Practice Location Address:

55 AMHERST VILLA RD STE 2
BUFFALO, NY
14225-1400

Practice Phone: 800-960-1080
Practice Fax:

1770319741 — DR. LONG SHEN
Practice Location Address:

55 AMHERST VILLA RD
BUFFALO, NY
14225-1400

Practice Phone: 800-960-1080
Practice Fax:

1033067038 — DR. LAKSHMANAN SURESH DDS, MS, PHD
Practice Location Address:

55 AMHERST VILLA RD
BUFFALO, NY
14225-1400

Practice Phone: 800-960-1080
Practice Fax:

1063594026 — DR. CHARLES N. KRUEGER D.C.
Practice Location Address:

1400 E LAKE COOK RD , STE 150
BUFFALO GROVE, IL
60089-8218

Practice Phone: 847-537-0300
Practice Fax: 847-537-0745

Directions to “BEUTNER LABS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.