| LCA CASE NUMBER | I-200-19365-222705 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-31 |
| DECISION DATE | 2020-01-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | NURSE PRACTITIONER |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-01-31 |
| END DATE | 2022-01-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PEACHTREE IMMEDIATE CARE FP, LLC |
| TRADE NAME DBA | PEACHTREE IMMEDIATE CARE |
| EMPLOYER ADDRESS1 | 2675 PACES FERRY ROAD SE |
| EMPLOYER ADDRESS2 | SUITE 200 |
| EMPLOYER CITY | ATLANTA |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30339 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16785046396 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | WILLIAMS |
| EMPLOYER POC FIRST NAME | LIA |
| EMPLOYER POC JOB TITLE | SENIOR DIRECTOR OF HUMAN RESOURCES |
| EMPLOYER POC ADDRESS1 | 2675 PACES FERRY ROAD SE |
| EMPLOYER POC ADDRESS2 | SUITE 200 |
| EMPLOYER POC CITY | ATLANTA |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30339 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16785046396 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | SINGH |
| AGENT ATTORNEY FIRST NAME | UDAI |
| AGENT ATTORNEY MIDDLE NAME | VIKRAM |
| AGENT ATTORNEY ADDRESS1 | 2282 BIRDIE LANE |
| AGENT ATTORNEY CITY | DULUTH |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30096 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14049188167.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | UDAI V SINGH PC |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 6000 HILLANDALE DR. |
| WORKSITE ADDRESS2 | #115 |
| LCA CASE WORKLOC1 CITY | LITHONIA |
| WORKSITE COUNTY | DEKALB |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30058 |
| LCA CASE WAGE RATE FROM | 47.53 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 47.3 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
