| LCA CASE NUMBER | I-200-21278-626642 |
| STATUS | Withdrawn |
| LCA CASE SUBMIT | 2021-10-05 |
| DECISION DATE | 2021-10-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Director |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-15 |
| END DATE | 2024-10-14 |
| 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 | Healthy Living Primary Care |
| EMPLOYER ADDRESS1 | 4400 Breckenridge Lane |
| EMPLOYER ADDRESS2 | Suite 147 |
| EMPLOYER CITY | Louisville |
| EMPLOYER STATE | KY |
| EMPLOYER POSTAL CODE | 40218 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15027081904 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Bhatt |
| EMPLOYER POC FIRST NAME | Nachiketa |
| EMPLOYER POC JOB TITLE | Manager |
| EMPLOYER POC ADDRESS1 | 4400 Breckenridge Lane |
| EMPLOYER POC ADDRESS2 | Suite 147 |
| EMPLOYER POC CITY | Louisville |
| EMPLOYER POC STATE | KY |
| EMPLOYER POC POSTAL CODE | 40218 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15022437383 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kulkarni |
| AGENT ATTORNEY FIRST NAME | Nirupama |
| AGENT ATTORNEY ADDRESS1 | 8917 STONE GREEN WAY |
| AGENT ATTORNEY CITY | Louisville |
| AGENT ATTORNEY STATE | KY |
| AGENT ATTORNEY POSTAL CODE | 40220 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15027138472 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Indus Law Firm, PLLC |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | Superior Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4400 BRECKENRIDGE LANE |
| WORKSITE ADDRESS2 | SUITE 147 |
| LCA CASE WORKLOC1 CITY | LOUISVILLE |
| WORKSITE COUNTY | JEFFERSON |
| LCA CASE WORKLOC1 STATE | KY |
| WORKSITE POSTAL CODE | 40218 |
| LCA CASE WAGE RATE FROM | 126880 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 126880 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | NOT APPLICABLE |
