| LCA CASE NUMBER | I-200-19316-140408 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-12 |
| DECISION DATE | 2019-11-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Vascular Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-01-01 |
| END DATE | 2022-12-31 |
| 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 | PRISMA Health Upstate |
| TRADE NAME DBA | (formerly Greenville Health System) |
| EMPLOYER ADDRESS1 | 7 Independence Point |
| EMPLOYER ADDRESS2 | Suite #120 |
| EMPLOYER CITY | Greenville |
| EMPLOYER STATE | SC |
| EMPLOYER POSTAL CODE | 29615 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +18647976240 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Owens |
| EMPLOYER POC FIRST NAME | Tina |
| EMPLOYER POC JOB TITLE | Senior Physician Recruiter |
| EMPLOYER POC ADDRESS1 | 7 Independence Point |
| EMPLOYER POC ADDRESS2 | Suite #120 |
| EMPLOYER POC CITY | Greenville |
| EMPLOYER POC STATE | SC |
| EMPLOYER POC POSTAL CODE | 29615 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +18647976240 |
| EMPLOYER POC EMAIL | Tina.Owens@prismahealth.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | White |
| AGENT ATTORNEY FIRST NAME | Knox |
| AGENT ATTORNEY MIDDLE NAME | Haynsworth |
| AGENT ATTORNEY ADDRESS1 | ONE North Main Street |
| AGENT ATTORNEY ADDRESS2 | 2nd Floor |
| AGENT ATTORNEY CITY | Greenville |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18642403276.0 |
| AGENT ATTORNEY EMAIL ADDRESS | kwhite@hsblawfirm.com |
| LAWFIRM NAME BUSINESS NAME | Haynsworth Sinkler Boyd, PA |
| STATE OF HIGHEST COURT | SC |
| NAME OF HIGHEST STATE COURT | South Carolina Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Greenville Memorial Hospital |
| WORKSITE ADDRESS1 | 701 Grove Road |
| LCA CASE WORKLOC1 CITY | Greenville |
| WORKSITE COUNTY | GREENVILLE |
| LCA CASE WORKLOC1 STATE | SC |
| WORKSITE POSTAL CODE | 29605 |
| LCA CASE WAGE RATE FROM | 250000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 194085.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 5.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Thompson |
| PREPARER FIRST NAME | Rayvena |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Haynsworth Sinkler Boyd PA |
| PREPARER EMAIL | rthompson@hsblawfirm.com |
