| LCA CASE NUMBER | I-200-23180-156224 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-06-29 |
| DECISION DATE | 2023-07-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Intensivist |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-08-01 |
| END DATE | 2026-07-31 |
| 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 | CHG Payroll Agent, INC Agent for Intensive Care Consortium |
| EMPLOYER ADDRESS1 | 2000 Health Park Drive 1 South |
| EMPLOYER CITY | Brentwood |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37027 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12817292422 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Cromika |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC JOB TITLE | Chief Operations Officer |
| EMPLOYER POC ADDRESS1 | 2000 Health Park Drive |
| EMPLOYER POC CITY | Brentwood |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37027 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12817292422 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Taub |
| AGENT ATTORNEY FIRST NAME | Elissa |
| AGENT ATTORNEY ADDRESS1 | 1028 Oakhaven Rd |
| AGENT ATTORNEY CITY | Memphis |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 38119 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19016826455 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Siskind Susser PC |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6500 W Newberry Rd |
| LCA CASE WORKLOC1 CITY | Gainesville |
| WORKSITE COUNTY | ALACHUA |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 32605 |
| LCA CASE WAGE RATE FROM | 220 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Moran |
| PREPARER FIRST NAME | Jacqueline |
| PREPARER BUSINESS NAME | Siskind Susser PC |
| PREPARER EMAIL | [email protected] |
