| LCA CASE NUMBER | I-200-19267-381547 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-09-30 |
| DECISION DATE | 2019-10-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PEDIATRICIAN |
| SOC CODE | 29-1065 |
| SOC TITLE | PEDIATRICIANS, GENERAL |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-11-18 |
| END DATE | 2022-11-17 |
| 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 | EAU CLAIRE COOPERATIVE HEALTH CENTER, INC. |
| TRADE NAME DBA | COOPERATIVE HEALTH |
| EMPLOYER ADDRESS1 | 1228 HARDEN STREET |
| EMPLOYER CITY | COLUMBIA |
| EMPLOYER STATE | SC |
| EMPLOYER POSTAL CODE | 29204 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8037335969 |
| EMPLOYER PHONE EXT | 4125.0 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | ROBERTSON |
| EMPLOYER POC FIRST NAME | SHAUNA |
| EMPLOYER POC JOB TITLE | HR MANAGER |
| EMPLOYER POC ADDRESS1 | 169 LAURELHURST AVE |
| EMPLOYER POC CITY | COLUMBIA |
| EMPLOYER POC STATE | SC |
| EMPLOYER POC POSTAL CODE | 29210 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 8037335969 |
| EMPLOYER POC PHONE EXT | 4139.0 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | DAYNA |
| AGENT ATTORNEY FIRST NAME | DAYNA |
| AGENT ATTORNEY MIDDLE NAME | JO |
| AGENT ATTORNEY ADDRESS1 | 250 E. WINMORE AVENUE |
| AGENT ATTORNEY CITY | CHAPEL HILL |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27516 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 9199697200.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF DAYNA KELLY, P.C. |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 500 North 12th Street |
| LCA CASE WORKLOC1 CITY | West Columbia |
| WORKSITE COUNTY | Lexington |
| LCA CASE WORKLOC1 STATE | SC |
| WORKSITE POSTAL CODE | 29169 |
| LCA CASE WAGE RATE FROM | 180856.0 |
| LCA CASE WAGE RATE TO | 195761.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 180856.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 2019 |
| PW OTHER SOURCE | OES |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
