| LCA CASE NUMBER | I-200-20017-261386 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-01-17 |
| DECISION DATE | 2020-01-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | GENERAL SURGEON |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| 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 | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| EMPLOYER ADDRESS1 | 300 WEST 27TH STREET |
| EMPLOYER CITY | LUMBERTON |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 28358 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19106715641 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | CLOTHIER |
| EMPLOYER POC FIRST NAME | LORNA |
| EMPLOYER POC JOB TITLE | MEDICAL STAFF COORDINATOR |
| EMPLOYER POC ADDRESS1 | 300 WEST 27TH STREET |
| EMPLOYER POC CITY | LUMBERTON |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 28358 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19106715000 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Kelly |
| AGENT ATTORNEY FIRST NAME | Dayna |
| AGENT ATTORNEY MIDDLE NAME | Jo |
| AGENT ATTORNEY ADDRESS1 | 250 E. Winmore Ave |
| AGENT ATTORNEY CITY | Chapel Hill |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27516 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19199697200.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Dayna Kelly, PC |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2934 North Elm Street |
| LCA CASE WORKLOC1 CITY | Lumberton |
| WORKSITE COUNTY | ROBESON |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 28358 |
| LCA CASE WAGE RATE FROM | 285000.0 |
| LCA CASE WAGE RATE TO | 325000.0 |
| 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 | 3.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
