| LCA CASE NUMBER | I-200-21286-642242 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-13 |
| DECISION DATE | 2021-10-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-30 |
| END DATE | 2024-12-29 |
| 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 | Sanjeev S. Tendolkar MD LLC |
| TRADE NAME DBA | Loganville Family Medicine |
| EMPLOYER ADDRESS1 | 4593 Lawrenceville Road |
| EMPLOYER CITY | Loganville |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30052 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17704668672 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Doshani |
| EMPLOYER POC FIRST NAME | Mona |
| EMPLOYER POC JOB TITLE | Office Manager |
| EMPLOYER POC ADDRESS1 | 4593 Lawrenceville Road |
| EMPLOYER POC CITY | Loganville |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30052 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17704668672 |
| EMPLOYER POC EMAIL | monagd@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Zollinger |
| AGENT ATTORNEY FIRST NAME | Jeremy |
| AGENT ATTORNEY MIDDLE NAME | Scott |
| AGENT ATTORNEY ADDRESS1 | 1100 Poydras St |
| AGENT ATTORNEY ADDRESS2 | Suite 1485 |
| AGENT ATTORNEY CITY | New Orleans |
| AGENT ATTORNEY STATE | LA |
| AGENT ATTORNEY POSTAL CODE | 70163 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15048811300 |
| AGENT ATTORNEY EMAIL ADDRESS | jzollinger@zollingerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Zollinger Immigration , ALC |
| STATE OF HIGHEST COURT | LA |
| NAME OF HIGHEST STATE COURT | Louisiana Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4593 Lawrenceville Road |
| LCA CASE WORKLOC1 CITY | Loganville |
| WORKSITE COUNTY | WALTON |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30052 |
| LCA CASE WAGE RATE FROM | 186285 |
| LCA CASE WAGE RATE TO | 200000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 186285 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
