Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Line Technologies, Inc Dba Xstrememd

Organization Occupational Health Nurse Practitioner · NPI 1629915962

Life Line Technologies, Inc Dba Xstrememd is an Occupational Health Nurse Practitioner in Broussard, Louisiana. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1028 Forum Dr
Broussard, LA 70518-8060
Phone: (337) 704-0891
Fax: (337) 704-2974
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Health Nurse Practitioner (primary) Taxonomy 363LX0106X

Record details

NPI number1629915962
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Odinet — Cmo · (337) 704-0981
Other names Xstrememd
NPI enumeratedMay 4, 2026
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing address1028 Forum Dr, Broussard, LA 70518-8060