| LCA CASE NUMBER | I-200-23163-100490 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-06-12 |
| DECISION DATE | 2023-06-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1224.00 |
| SOC TITLE | Radiologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-01 |
| END DATE | 2026-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Northside Radiology Associates, PC |
| EMPLOYER ADDRESS1 | 1514 Vernon Road |
| EMPLOYER CITY | LaGrange |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30240 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17069260824 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Duncan |
| EMPLOYER POC FIRST NAME | Derrek |
| EMPLOYER POC JOB TITLE | Practice Director |
| EMPLOYER POC ADDRESS1 | 1514 Vernon Road |
| EMPLOYER POC CITY | LaGrange |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30240 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15027978261 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Rogers |
| AGENT ATTORNEY FIRST NAME | Punam |
| AGENT ATTORNEY MIDDLE NAME | S. |
| AGENT ATTORNEY ADDRESS1 | 535 Boylston Street |
| AGENT ATTORNEY ADDRESS2 | Suite 902 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 02116 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16178497884 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Constangy, Brooks, Smith & Prophete, LLP |
| STATE OF HIGHEST COURT | MA |
| NAME OF HIGHEST STATE COURT | MA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Wellstar West Georgia Medical Center |
| WORKSITE ADDRESS1 | 1514 Vernon Road |
| LCA CASE WORKLOC1 CITY | LaGrange |
| WORKSITE COUNTY | TROUP |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30342 |
| LCA CASE WAGE RATE FROM | 525000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 417082 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
