| LCA CASE NUMBER | I-200-21085-177957 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-26 |
| DECISION DATE | 2021-04-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nephrologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | Carolina Diabetes & Kidney Center, LLC |
| EMPLOYER ADDRESS1 | 625 W. Wesmark Blvd. |
| EMPLOYER CITY | Sumter |
| EMPLOYER STATE | SC |
| EMPLOYER POSTAL CODE | 29150 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18034697950 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Lilavivat |
| EMPLOYER POC FIRST NAME | Usah |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 625 W. Wesmark Blvd. |
| EMPLOYER POC CITY | Sumter |
| EMPLOYER POC STATE | SC |
| EMPLOYER POC POSTAL CODE | 29150 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18034697950 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Burwell |
| AGENT ATTORNEY FIRST NAME | Henry |
| AGENT ATTORNEY MIDDLE NAME | McAden |
| AGENT ATTORNEY ADDRESS1 | 2 W. Washington St. |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Greenville |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18643732212 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Nelson Mullins Riley & Scarborough, LLP |
| STATE OF HIGHEST COURT | SC |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 625 W. Wesmark Blvd. |
| LCA CASE WORKLOC1 CITY | Sumter |
| WORKSITE COUNTY | SUMTER |
| LCA CASE WORKLOC1 STATE | SC |
| WORKSITE POSTAL CODE | 29150 |
| LCA CASE WAGE RATE FROM | 235000 |
| LCA CASE WAGE RATE TO | 509184 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
