| LCA CASE NUMBER | I-200-21159-378043 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-08 |
| DECISION DATE | 2021-06-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff Nurse I (CVIU) |
| SOC CODE | 29-1141.03 |
| SOC TITLE | Critical Care Nurses |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-04 |
| END DATE | 2024-11-03 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Pitt County Memorial Hospital, Inc. |
| TRADE NAME DBA | d/b/a Vidant Medical Center a/k/a Vidant Health |
| EMPLOYER ADDRESS1 | 2100 Stantonsburg Road |
| EMPLOYER CITY | Greenville |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 27834 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12528474809 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Hobbs |
| EMPLOYER POC FIRST NAME | Diane |
| EMPLOYER POC JOB TITLE | Talent Acquisition Consultant |
| EMPLOYER POC ADDRESS 1 | 2100 Stantonsburg Road |
| EMPLOYER POC CITY | Greenville |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 27834 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12528473244 |
| EMPLOYER POC EMAIL | DGHobbs@vidanthealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Prall |
| AGENT ATTORNEY FIRST NAME | Nicola |
| AGENT ATTORNEY MIDDLE NAME | A.L. |
| AGENT ATTORNEY ADDRESS1 | 3737 GLENWOOD AVENUE |
| AGENT ATTORNEY ADDRESS2 | SUITE 450 |
| AGENT ATTORNEY CITY | RALEIGH |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27612 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | NORTH CAROLINA |
| AGENT ATTORNEY PHONE | 19197606460 |
| AGENT ATTORNEY PHONE EXT | 6467 |
| AGENT ATTORNEY EMAIL ADDRESS | NICOLA.PRALL@JACKSONLEWIS.COM |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis, P.C. |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | NC |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2100 Stantonsburg Road |
| LCA CASE WORKLOC1 CITY | Greenville |
| WORKSITE COUNTY | PITT |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 27834 |
| LCA CASE WAGE RATE FROM | 25.73 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 24.65 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bribiesca |
| PREPARER FIRST NAME | Alondra |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | alondra.bribiesca@jacksonlewis.com |
