| LCA CASE NUMBER | I-200-20078-416336 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-03-18 |
| DECISION DATE | 2020-04-29 |
| ORIGINAL CERT DATE | 2020-03-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Cardiology) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-05-01 |
| END DATE | 2023-04-30 |
| 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 | Northside Cardiovascular Institute, LLC |
| EMPLOYER ADDRESS1 | 1000 Johnson Ferry Rd. |
| EMPLOYER CITY | Atlanta |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30342 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14043002167 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Piccininni |
| EMPLOYER POC FIRST NAME | Kelly |
| EMPLOYER POC JOB TITLE | Manager, Talent Acquisition |
| EMPLOYER POC ADDRESS1 | 5780 Peachtree Dunwoody Rd. |
| EMPLOYER POC ADDRESS2 | Suite 460 |
| EMPLOYER POC CITY | Atlanta |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30342 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14003002167 |
| EMPLOYER POC EMAIL | kelly.piccininni@northside.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Levine |
| AGENT ATTORNEY FIRST NAME | James |
| AGENT ATTORNEY MIDDLE NAME | Daniel |
| AGENT ATTORNEY ADDRESS1 | 1170 Peachtree St. NE |
| AGENT ATTORNEY ADDRESS2 | Suite 2400 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14049469779.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jlevine@bakerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Baker & Hostetler LLP |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1505 Northside Blvd. |
| WORKSITE ADDRESS2 | Suite 3400 |
| LCA CASE WORKLOC1 CITY | Cumming |
| WORKSITE COUNTY | FORSYTH |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30041 |
| LCA CASE WAGE RATE FROM | 600000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 236662.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
