| LCA CASE NUMBER | I-200-21099-213933 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-09 |
| DECISION DATE | 2021-04-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1062 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-12 |
| END DATE | 2024-04-11 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Civic Center Pediatrics |
| EMPLOYER ADDRESS1 | 2025 Civic Center Drive |
| EMPLOYER CITY | North Las Vegas |
| EMPLOYER STATE | NV |
| EMPLOYER POSTAL CODE | 89030 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17026682859 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Wickremeratne |
| EMPLOYER POC FIRST NAME | Dharmin |
| EMPLOYER POC JOB TITLE | Office Manager |
| EMPLOYER POC ADDRESS 1 | 2025 Civic Center Drive |
| EMPLOYER POC CITY | North Las Vegas |
| EMPLOYER POC STATE | NV |
| EMPLOYER POC POSTAL CODE | 89030 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17026682859 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bus |
| AGENT ATTORNEY FIRST NAME | Rachel |
| AGENT ATTORNEY MIDDLE NAME | I |
| AGENT ATTORNEY ADDRESS1 | 3080 N. Litchfield Road |
| AGENT ATTORNEY CITY | Goodyear |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85395 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16235365750 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Brelje and Associates, PC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2025 Civic Center Drive |
| LCA CASE WORKLOC1 CITY | North Las Vegas |
| WORKSITE COUNTY | CLARK |
| LCA CASE WORKLOC1 STATE | NV |
| WORKSITE POSTAL CODE | 89030 |
| LCA CASE WAGE RATE FROM | 190000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 109179 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Smith |
| PREPARER FIRST NAME | Kerri |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Law Offices of Brelje and Associates, PC |
| PREPARER EMAIL | [email protected] |
