| LCA CASE NUMBER | I-200-20220-756721 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-08-07 |
| DECISION DATE | 2021-08-12 |
| ORIGINAL CERT DATE | 2020-08-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pathologist |
| SOC CODE | 29-1069.07 |
| SOC TITLE | Pathologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-01 |
| END DATE | 2023-12-31 |
| 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 | Pathologists Diagnostic Services, PLLC |
| EMPLOYER ADDRESS1 | 630 Brookwood Business Park Drive |
| EMPLOYER ADDRESS2 | Suite B |
| EMPLOYER CITY | Winston-Salem |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 27105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13363065770 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Buck |
| EMPLOYER POC FIRST NAME | Dan |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 630 Brookwood Business Park Drive |
| EMPLOYER POC ADDRESS2 | Suite B |
| EMPLOYER POC CITY | Winston-Salem |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 27105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12036233279 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sivaraman |
| AGENT ATTORNEY FIRST NAME | Heather |
| AGENT ATTORNEY ADDRESS1 | PO Box 1317 |
| AGENT ATTORNEY CITY | Carrboro |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19196192119 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Sivaraman Immigration Law |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Novant Health Forsyth Hospital |
| WORKSITE ADDRESS1 | 3333 Silas Creek Parkway |
| LCA CASE WORKLOC1 CITY | Winston-Salem |
| WORKSITE COUNTY | FORSYTH |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 27103 |
| LCA CASE WAGE RATE FROM | 192483 |
| LCA CASE WAGE RATE TO | 240000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 192483 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
