| LCA CASE NUMBER | I-200-20281-866290 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-07 |
| DECISION DATE | 2020-10-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Informatics Nursing Manager/Director |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-10-07 |
| END DATE | 2023-09-30 |
| 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 | Generations Family Practice, PA |
| EMPLOYER ADDRESS1 | 1021 Darrington Drive |
| EMPLOYER ADDRESS2 | Suite 101 |
| EMPLOYER CITY | Cary |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 27513 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19198523999 |
| EMPLOYER PHONE EXT | 513 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Campbell |
| EMPLOYER POC FIRST NAME | Catina |
| EMPLOYER POC JOB TITLE | Practice Administrator |
| EMPLOYER POC ADDRESS 1 | 1021 Darrington Drive |
| EMPLOYER POC ADDRESS 2 | Suite 101 |
| EMPLOYER POC CITY | Cary |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 27513 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19198523999 |
| EMPLOYER POC PHONE EXT | 513 |
| EMPLOYER POC EMAIL | catina@generationsfamilypractice.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BASHYAM |
| AGENT ATTORNEY FIRST NAME | MURALI |
| AGENT ATTORNEY ADDRESS1 | P O BOX 2477 |
| AGENT ATTORNEY CITY | RALEIGH |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19198330840 |
| AGENT ATTORNEY PHONE EXT | 28 |
| AGENT ATTORNEY EMAIL ADDRESS | MURALI@BASHYAMSHAH.COM |
| LAWFIRM NAME BUSINESS NAME | Bashyam Shah LLP |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1021 Darrington Drive |
| WORKSITE ADDRESS2 | Suite 101 |
| LCA CASE WORKLOC1 CITY | Cary |
| WORKSITE COUNTY | WAKE |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 27513 |
| LCA CASE WAGE RATE FROM | 75733 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 74672 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
