| LCA CASE NUMBER | I-200-20169-661078 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-17 |
| DECISION DATE | 2020-06-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-15 |
| END DATE | 2023-07-14 |
| 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 | Rainbow Pediatrics of Fayetteville, P.A. |
| EMPLOYER ADDRESS1 | 1327 Robeson Street |
| EMPLOYER CITY | Fayetteville |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 28305 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19104865437 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Clark |
| EMPLOYER POC FIRST NAME | Tammy |
| EMPLOYER POC MIDDLE NAME | L |
| EMPLOYER POC JOB TITLE | Practice Administrator |
| EMPLOYER POC ADDRESS1 | 1327 Robeson Street |
| EMPLOYER POC CITY | Fayetteville |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 28305 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19104865437 |
| EMPLOYER POC PHONE EXT | 106.0 |
| EMPLOYER POC EMAIL | tclark@rainbowpediatrics.net |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Arias |
| AGENT ATTORNEY FIRST NAME | Betsy |
| AGENT ATTORNEY ADDRESS1 | 110 West 34th Street , #300 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12128403878.0 |
| AGENT ATTORNEY EMAIL ADDRESS | marla@perlitsh.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Stephen M. Perlitsh |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1327 Robeson Street |
| LCA CASE WORKLOC1 CITY | Fayetteville |
| WORKSITE COUNTY | CUMBERLAND |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 28305 |
| LCA CASE WAGE RATE FROM | 150000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 146370.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bart |
| PREPARER FIRST NAME | Marla |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | Law Office of Stephen M. Perlitsh |
| PREPARER EMAIL | marla@perlitsh.com |
