| LCA CASE NUMBER | I-200-20043-316687 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-12 |
| DECISION DATE | 2020-02-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Neonatologist |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-17 |
| END DATE | 2023-07-16 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Self Medical Group |
| EMPLOYER ADDRESS1 | 1325 Spring Street |
| EMPLOYER CITY | Greenwood |
| EMPLOYER STATE | SC |
| EMPLOYER POSTAL CODE | 29646 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18647254252 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Keith |
| EMPLOYER POC FIRST NAME | William |
| EMPLOYER POC MIDDLE NAME | Holcombe |
| EMPLOYER POC JOB TITLE | Senior VP Operations/Chief of Administrative Officer |
| EMPLOYER POC ADDRESS1 | 1325 Spring Street |
| EMPLOYER POC CITY | Greenwood |
| EMPLOYER POC STATE | SC |
| EMPLOYER POC POSTAL CODE | 29646 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18647254252 |
| EMPLOYER POC EMAIL | william.keith@selfregional.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Jeffries |
| AGENT ATTORNEY FIRST NAME | Stephen |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 1560 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 914 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12127644222.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jsimpson.jeffrieslaw@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Jeffries & Corigliano LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1325 Spring Street |
| LCA CASE WORKLOC1 CITY | Greenwood |
| WORKSITE COUNTY | GREENWOOD |
| LCA CASE WORKLOC1 STATE | SC |
| WORKSITE POSTAL CODE | 29646 |
| LCA CASE WAGE RATE FROM | 315000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 260811.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Corigliano |
| PREPARER FIRST NAME | Dina |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | Jeffries & Corigliano, LLP |
| PREPARER EMAIL | jsimpson.jeffrieslaw@gmail.com |
