| LCA CASE NUMBER | I-200-21076-152134 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-16 |
| DECISION DATE | 2021-03-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Radiologist Physician |
| SOC CODE | 29-1069.10 |
| SOC TITLE | Radiologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-30 |
| END DATE | 2024-07-29 |
| 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 | Northside Radiology Associates, LLC |
| EMPLOYER ADDRESS1 | 3916 Milgen Road |
| EMPLOYER ADDRESS2 | #7253 |
| EMPLOYER CITY | Columbus |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31908 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17069260824 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Hazelitt |
| EMPLOYER POC FIRST NAME | Geraldine |
| EMPLOYER POC JOB TITLE | VP, Human Resources |
| EMPLOYER POC ADDRESS 1 | 2330 Utah Avenue |
| EMPLOYER POC ADDRESS 2 | Suite 200 |
| EMPLOYER POC CITY | El Segundo |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90245 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14247814646 |
| EMPLOYER POC EMAIL | gerihazelitt@radpartners.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Yarbrough |
| AGENT ATTORNEY FIRST NAME | Cynthia |
| AGENT ATTORNEY MIDDLE NAME | Jean |
| AGENT ATTORNEY ADDRESS1 | 1075 Peachtree Street NE |
| AGENT ATTORNEY ADDRESS2 | Suite 3500 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | GEORGIA |
| AGENT ATTORNEY PHONE | 14042405845 |
| AGENT ATTORNEY EMAIL ADDRESS | cyarbrough@fisherphillips.com |
| LAWFIRM NAME BUSINESS NAME | Fisher & Phillips LLP |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Piedmont Columbus Regional Midtown |
| WORKSITE ADDRESS1 | 710 Center Street |
| LCA CASE WORKLOC1 CITY | Columbus |
| WORKSITE COUNTY | MUSCOGEE |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 31901 |
| LCA CASE WAGE RATE FROM | 350000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 282755 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
