| LCA CASE NUMBER | I-200-22084-011187 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-03-25 |
| DECISION DATE | 2022-04-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-12 |
| END DATE | 2025-09-11 |
| 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 | Whiting Medical Center, P.C. |
| EMPLOYER ADDRESS1 | 2075 Indianapolis Blvd |
| EMPLOYER CITY | Whiting |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46394 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12196597000 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Patel |
| EMPLOYER POC FIRST NAME | Chitaranjan |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 2075 Indianapolis Blvd |
| EMPLOYER POC CITY | Whiting |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46394 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12196597000 |
| EMPLOYER POC EMAIL | whiting_5110@yahoo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Berger |
| AGENT ATTORNEY FIRST NAME | Dara |
| AGENT ATTORNEY ADDRESS1 | 303 Perimeter Center North |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30346 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14042341619 |
| AGENT ATTORNEY EMAIL ADDRESS | dara@bergerimmigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | Berger Immigration Law LLC |
| STATE OF HIGHEST COURT | GA |
|
| NAME OF HIGHEST STATE COURT | Supreme Court of Georgia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2075 Indianapolis Blvd |
| LCA CASE WORKLOC1 CITY | Whiting |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46394 |
| LCA CASE WAGE RATE FROM | 112010 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 112008 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
