| LCA CASE NUMBER | I-200-19311-133787 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-07 |
| DECISION DATE | 2019-11-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nephrologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-01-04 |
| END DATE | 2023-01-03 |
| 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 | Cumberland Kidney Specialist, LLC |
| EMPLOYER ADDRESS1 | 221 North Oak Avenue |
| EMPLOYER CITY | Cookeville |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 38501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +19316460880 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Mendiratta |
| EMPLOYER POC FIRST NAME | Anju |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 221 North Oak Street |
| EMPLOYER POC CITY | Cookeville |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 38501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +19316460880 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | WINTERSTEEN |
| AGENT ATTORNEY FIRST NAME | Charles |
| AGENT ATTORNEY MIDDLE NAME | H |
| AGENT ATTORNEY ADDRESS1 | 53 W. Jackson Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 809 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13125660301.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Charles Wintersteen, P.C. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Cookeville Regional Medical Center |
| WORKSITE ADDRESS1 | 1 Medical Center Blvd |
| LCA CASE WORKLOC1 CITY | Cookeville |
| WORKSITE COUNTY | PUTNAM |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 38501 |
| LCA CASE WAGE RATE FROM | 208000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 4.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
