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Organization
LIFE LINE TECHNOLOGIES, INC DBA XSTREMEMD
Active
Organization
LIFE LINE TECHNOLOGIES, INC DBA XSTREMEMD
Active
Other names
XstremeMD
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LYLE ODINET MD (CMO)
(337) 704-0981
Entity
Organization
Contact information
Practice address
1028 FORUM DR, BROUSSARD, LA 70518-8060
(337) 704-0891
(337) 704-2974
Mailing address
1028 FORUM DR, BROUSSARD, LA 70518-8060
(337) 704-0891
(337) 704-2974
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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