| LCA CASE NUMBER | I-200-20240-791537 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-27 |
| DECISION DATE | 2020-09-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Certified Registered Nurse Anesthetist |
| SOC CODE | 29-1151.00 |
| SOC TITLE | Nurse Anesthetists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-06 |
| END DATE | 2023-09-05 |
| 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 | American Anesthesiology of North Carolina, P.C. |
| EMPLOYER ADDRESS1 | 68 South Service Road |
| EMPLOYER ADDRESS2 | Suite 350 |
| EMPLOYER CITY | Melville |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 11747 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15169453348 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Blumberg |
| EMPLOYER POC FIRST NAME | Sheryl |
| EMPLOYER POC JOB TITLE | Vice President of Human Resources Service Delivery |
| EMPLOYER POC ADDRESS1 | 68 South Service Road |
| EMPLOYER POC ADDRESS2 | Suite 350 |
| EMPLOYER POC CITY | Melville |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 11747 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15169453348 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Ombok |
| AGENT ATTORNEY FIRST NAME | Otieno |
| AGENT ATTORNEY MIDDLE NAME | B |
| AGENT ATTORNEY ADDRESS1 | 44 South Broadway |
| AGENT ATTORNEY ADDRESS2 | 14th Floor |
| AGENT ATTORNEY CITY | White Plains |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19148726895.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | Wakemed Health & Hospitals |
| WORKSITE ADDRESS2 | 3000 New Bern Avenue |
| LCA CASE WORKLOC1 CITY | Raleigh |
| WORKSITE COUNTY | WAKE |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 27610 |
| LCA CASE WAGE RATE FROM | 180000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 165838.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | [email protected] |
