| LCA CASE NUMBER | I-200-21145-343483 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-25 |
| DECISION DATE | 2021-06-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-01 |
| END DATE | 2024-07-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Primary Health Services Center |
| EMPLOYER ADDRESS1 | 2913 Betin Ave. |
| EMPLOYER CITY | Monroe |
| EMPLOYER STATE | LA |
| EMPLOYER POSTAL CODE | 71201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13183881250 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Fields |
| EMPLOYER POC FIRST NAME | Thomas |
| EMPLOYER POC MIDDLE NAME | Henry |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS 1 | 2913 Betin Ave. |
| EMPLOYER POC CITY | Monroe |
| EMPLOYER POC STATE | LA |
| EMPLOYER POC POSTAL CODE | 71201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13183881250 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Mooney, Esq. |
| AGENT ATTORNEY FIRST NAME | Ryan |
| AGENT ATTORNEY MIDDLE NAME | P |
| AGENT ATTORNEY ADDRESS1 | 7606 Transit Road, Suite 200 |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14221 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17166897770 |
| AGENT ATTORNEY PHONE EXT | 103 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Malik & Popiel, P.C. |
|
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2914 Betin Ave. |
| LCA CASE WORKLOC1 CITY | Monroe |
| WORKSITE COUNTY | OUACHITA |
| LCA CASE WORKLOC1 STATE | LA |
| WORKSITE POSTAL CODE | 71201 |
| LCA CASE WAGE RATE FROM | 190000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 123926 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 | Mooney |
| PREPARER FIRST NAME | Ryan |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | Malik & Popiel, P.C. |
| PREPARER EMAIL | [email protected] |
