| LCA CASE NUMBER | I-200-21250-568341 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-07 |
| DECISION DATE | 2021-09-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician - Nephrologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-09 |
| END DATE | 2024-10-08 |
| 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 | East Texas Kidney Specialists, P.A. |
| EMPLOYER ADDRESS1 | 3535 N. 4th Street |
| EMPLOYER ADDRESS2 | Suite 301 |
| EMPLOYER CITY | Longview |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75605 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19032349992 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Hagood |
| EMPLOYER POC FIRST NAME | Tiffany |
| EMPLOYER POC JOB TITLE | Practice Manager |
| EMPLOYER POC ADDRESS1 | 3535 N. 4th Street |
| EMPLOYER POC ADDRESS2 | Suite 301 |
| EMPLOYER POC CITY | Longview |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75605 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19032349992 |
| EMPLOYER POC EMAIL | thagood@easttexaskidney.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Dutton |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY ADDRESS1 | 243 New Hyde Park Road |
| AGENT ATTORNEY CITY | Garden City |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11530 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15163083670 |
| AGENT ATTORNEY EMAIL ADDRESS | adutton@andrewduttonlaw.com |
| LAWFIRM NAME BUSINESS NAME | Andrew Dutton, Esq., P.C. |
| STATE OF HIGHEST COURT | NY |
|
| NAME OF HIGHEST STATE COURT | New York State Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Everest Rehab Hospital |
| WORKSITE ADDRESS1 | 701 E. Loop 281 |
| LCA CASE WORKLOC1 CITY | Longview |
| WORKSITE COUNTY | GREGG |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75605 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 8 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
