MEDICARE: BLOOD ON THE RUN 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	291U00000X	Clinical Medical Laboratory
2	207ZC0006X	Clinical Pathology Physician

General Provider Information

NPI Number	:	1730052655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOOD ON THE RUN INC.

Provider Business Mailing Address
First Line	:	1516 W CAYUSE CREEK DR STE 100
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83646-4795
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1516 W CAYUSE CREEK DR STE 100
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83646-4795
Country	:	US
Telephone Number	:	208-747-1600
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TOSHA STRICKLAND
Credential	:
Telephone Number	:	208-760-4400

Provider Enumeration Date	:	09/26/2025
Last Update Date	:	05/07/2026

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Directions to “BLOOD ON THE RUN INC. ” Practice Location

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