| LCA CASE NUMBER | I-200-21096-202122 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-06 |
| DECISION DATE | 2021-04-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Regional Clinical Director |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-04-12 |
| END DATE | 2024-04-11 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Carbon Health Technologies, Inc. |
| EMPLOYER ADDRESS1 | 300 California Street |
| EMPLOYER ADDRESS2 | 7th Floor |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94104 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14152002099 |
| NAICS CODE | 621999 |
| EMPLOYER POC LAST NAME | Guha |
| EMPLOYER POC FIRST NAME | Pratibha |
| EMPLOYER POC JOB TITLE | Head of People Operations |
| EMPLOYER POC ADDRESS 1 | 300 California Street |
| EMPLOYER POC ADDRESS 2 | 7th Floor |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13103397878 |
| EMPLOYER POC EMAIL | pratibha@carbonhealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Vareed |
| AGENT ATTORNEY FIRST NAME | Sharlyn |
| AGENT ATTORNEY ADDRESS1 | 100 Pine Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1250 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14154325300 |
| AGENT ATTORNEY EMAIL ADDRESS | jluc@mccownevans.com |
| LAWFIRM NAME BUSINESS NAME | MCCOWN & EVANS LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1789 Centre Street |
| WORKSITE ADDRESS2 | Unit 304 |
| LCA CASE WORKLOC1 CITY | West Roxbury |
| WORKSITE COUNTY | BOSTON CITY |
| LCA CASE WORKLOC1 STATE | MA |
| WORKSITE POSTAL CODE | 2132 |
| LCA CASE WAGE RATE FROM | 128.49 |
| LCA CASE WAGE RATE TO | 154 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 128.49 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
