| LCA CASE NUMBER | I-200-21132-308470 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-12 |
| DECISION DATE | 2021-05-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | NEPHROLOGIST |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-17 |
| END DATE | 2024-05-16 |
| 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 | FRANKLIN COUNTY MEDICAL ASSOCIATES, LLC |
| TRADE NAME DBA | KIDNEY CARE CENTER CHAMBERSBURG |
| EMPLOYER ADDRESS1 | 415 LIMEKILN DR. |
| EMPLOYER CITY | CHAMBERSBURG |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17172637757 |
| NAICS CODE | 621492 |
| EMPLOYER POC LAST NAME | MUTHART |
| EMPLOYER POC FIRST NAME | LAUREN |
| EMPLOYER POC JOB TITLE | CREDENTIALING SUPERVISOR & IMMIGRATION SPECIALIST |
| EMPLOYER POC ADDRESS 1 | 812 CAMPUS DR. |
| EMPLOYER POC CITY | JOLIET |
| EMPLOYER POC STATE | IL |
| EMPLOYER POC POSTAL CODE | 60435 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18157147171 |
| EMPLOYER POC EMAIL | LMuthart@KidneyCares.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | MURESAN |
| AGENT ATTORNEY FIRST NAME | MIHAELA |
| AGENT ATTORNEY ADDRESS1 | 53 W. JACKSON BLVD. |
| AGENT ATTORNEY ADDRESS2 | SUITE 809 |
| AGENT ATTORNEY CITY | CHICAGO |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13125660301 |
| AGENT ATTORNEY EMAIL ADDRESS | mam@charleswintersteen.com |
| LAWFIRM NAME BUSINESS NAME | CHARLES H. WINTERSTEEN, P.C. |
| STATE OF HIGHEST COURT | IL |
|
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | WELLSPAN CHAMBERSBURG HOSPITAL |
| WORKSITE ADDRESS1 | 112 N. 7TH STREET |
| LCA CASE WORKLOC1 CITY | CHAMBERSBURG |
| WORKSITE COUNTY | FRANKLIN |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17201 |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
