| LCA CASE NUMBER | I-200-21259-586844 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-15 |
| DECISION DATE | 2021-09-22 |
| 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 | 2021-11-01 |
| END DATE | 2024-10-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | INDI VASUDEVA SERVICES, INC. |
| TRADE NAME DBA | KIDNEY CARE CENTER FLORIDA |
| EMPLOYER ADDRESS1 | 4218 W. LINEBAUGH AVE. |
| EMPLOYER CITY | TAMPA |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33624 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18139616633 |
| NAICS CODE | 621492 |
| EMPLOYER POC LAST NAME | MUTHART |
| EMPLOYER POC FIRST NAME | LAUREN |
| EMPLOYER POC JOB TITLE | CREDENTIALING SUPERVISOR & IMMIGRATION SPECIALIST |
| EMPLOYER POC ADDRESS1 | 812 CAMPUS DR. |
| EMPLOYER POC CITY | JOLIET |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60435 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18157147171 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | MURESAN |
| AGENT ATTORNEY FIRST NAME | MIHAELA |
| AGENT ATTORNEY ADDRESS1 | 53 W. JACKSON BLVD. |
| AGENT ATTORNEY ADDRESS2 | SUITE 418 |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13125660301 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | CHARLES H. WINTERSTEEN, P.C. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | TAMPA GENERAL HOSPITAL |
| WORKSITE ADDRESS1 | 1 TAMPA GENERAL CIR. |
| LCA CASE WORKLOC1 CITY | TAMPA |
| WORKSITE COUNTY | HILLSBOROUGH |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33606 |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 216341 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
