| LCA CASE NUMBER | I-200-21313-695856 |
| STATUS | Withdrawn |
| LCA CASE SUBMIT | 2021-11-09 |
| DECISION DATE | 2021-11-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-01 |
| END DATE | 2024-11-30 |
| 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 | University Medical Group, LLC |
| EMPLOYER ADDRESS1 | 1350 Walton Way |
| EMPLOYER CITY | Augusta |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30901 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17067744211 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Echols |
| EMPLOYER POC FIRST NAME | Becky |
| EMPLOYER POC JOB TITLE | Dir. of Med Affairs & Hosp Practices Univ Health Care System |
| EMPLOYER POC ADDRESS1 | 1350 Walton Way |
| EMPLOYER POC CITY | Augusta |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30901 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17067744211 |
| EMPLOYER POC EMAIL | bechols@uh.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bus |
| AGENT ATTORNEY FIRST NAME | Rachel |
| AGENT ATTORNEY MIDDLE NAME | I. |
| AGENT ATTORNEY ADDRESS1 | 3080 North Litchfield Road |
| AGENT ATTORNEY CITY | Goodyear |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85395 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16235365750 |
| AGENT ATTORNEY EMAIL ADDRESS | rbus@breljelaw.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Brelje and Associates, P.C. |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | University Hospital |
| WORKSITE ADDRESS1 | 1350 Walton Way |
| LCA CASE WORKLOC1 CITY | Augusta |
| WORKSITE COUNTY | RICHMOND |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30901 |
| LCA CASE WAGE RATE FROM | 350000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 271690 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bus |
| PREPARER FIRST NAME | Rachel |
| PREPARER MIDDLE INITIAL | I. |
| PREPARER BUSINESS NAME | Law Offices of Brelje and Associates, PC |
| PREPARER EMAIL | rbus@breljelaw.com |
