| LCA CASE NUMBER | I-200-20141-589217 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-20 |
| DECISION DATE | 2020-05-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Nephrology/Internal Medicine) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-05-21 |
| END DATE | 2023-05-20 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Charleston Nephrology, Hypertension and Transplant, PLLC |
| EMPLOYER ADDRESS1 | 4825 MacCorkle Avenue SW |
| EMPLOYER ADDRESS2 | Suite A |
| EMPLOYER CITY | South Charleston |
| EMPLOYER STATE | WV |
| EMPLOYER POSTAL CODE | 25309 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13044004700 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Ketchem |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC JOB TITLE | Office Manager |
| EMPLOYER POC ADDRESS1 | 4825 MacCorkle Ave. SW |
| EMPLOYER POC ADDRESS2 | Suite A |
| EMPLOYER POC CITY | South Charleston |
| EMPLOYER POC STATE | WV |
| EMPLOYER POC POSTAL CODE | 25309 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13044004700 |
| EMPLOYER POC EMAIL | jketchem@wvkidney.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Sutherland |
| AGENT ATTORNEY FIRST NAME | Emma |
| AGENT ATTORNEY MIDDLE NAME | Jane |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 5279 |
| AGENT ATTORNEY CITY | Herndon |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20172 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17038850638.0 |
| AGENT ATTORNEY EMAIL ADDRESS | esutherland@salvettilaw.com |
| LAWFIRM NAME BUSINESS NAME | The Salvetti Law Group, PLLC |
|
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Virginia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Camden Clark Hospital |
| WORKSITE ADDRESS1 | 800 Garfield Avenue |
| LCA CASE WORKLOC1 CITY | Parkersburg |
| WORKSITE COUNTY | WOOD |
| LCA CASE WORKLOC1 STATE | WV |
| WORKSITE POSTAL CODE | 26101 |
| LCA CASE WAGE RATE FROM | 250000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 145350.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
