| LCA CASE NUMBER | I-200-16183-485295 |
| STATUS | CERTIFIED-WITHDRAWN |
| LCA CASE SUBMIT | 7/13/16 |
| DECISION DATE | 11/7/17 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/6/16 |
| EMPLOYMENT END DATE | 9/5/18 |
| LCA CASE EMPLOYER NAME | VIDANT MEDICAL GROUP, LLC |
| EMPLOYER ADDRESS | 2100 STANTONSBURG RD. |
| EMPLOYER CITY | GREENVILLE |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 27835 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2528479168 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | KELLY, DAYNA |
| AGENT ATTORNEY CITY | CHAPEL HILL |
| AGENT ATTORNEY STATE | NC |
| LCA CASE JOB TITLE | NURSE PRACTITIONER |
| SOC CODE | 29-1171 |
| SOC NAME | NURSE PRACTITIONERS |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 75,733.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 86,000.00 |
| LCA CASE WAGE RATE TO | 130,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | TARBORO |
| WORKSITE COUNTY | EDGECOMBE |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 27886 |
| ORIGINAL CERT DATE | 7/19/16 |
