| LCA CASE NUMBER | I-200-22039-886410 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2022-02-08 |
| DECISION DATE | 2022-03-03 |
| ORIGINAL CERT DATE | 2022-02-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Surgeon |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-04-01 |
| END DATE | 2025-03-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| EMPLOYER ADDRESS1 | 300 WEST 27TH STREET |
| EMPLOYER CITY | LUMBERTON |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 28358 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19106715641 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | CLOTHIER |
| EMPLOYER POC FIRST NAME | LORNA |
| EMPLOYER POC JOB TITLE | PHYSICIAN RECRUITMENT COORDINATOR - PRIMARY CARE |
| EMPLOYER POC ADDRESS1 | 300 WEST 27TH STREET |
| EMPLOYER POC CITY | LUMBERTON |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 28358 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19106715641 |
| EMPLOYER POC EMAIL | CLOTHI01@SRMC.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kelly |
| AGENT ATTORNEY FIRST NAME | Dayna |
| AGENT ATTORNEY MIDDLE NAME | Jo |
| AGENT ATTORNEY ADDRESS1 | 250 E. Winmore Ave |
| AGENT ATTORNEY CITY | Chapel Hill |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27516 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19199697200 |
| AGENT ATTORNEY EMAIL ADDRESS | INFO@DKELLY.COM |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Dayna Kelly, PC |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3001 North Elm Street |
| LCA CASE WORKLOC1 CITY | Lumberton |
| WORKSITE COUNTY | ROBESON |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 28358 |
| LCA CASE WAGE RATE FROM | 350000 |
| LCA CASE WAGE RATE TO | 450000 |
| 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 | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
