| LCA CASE NUMBER | I-200-22230-424572 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-08-18 |
| DECISION DATE | 2022-08-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nephrologist |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-01 |
| END DATE | 2025-08-31 |
| 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 | Cumberland Kidney Specialist, LLC |
| EMPLOYER ADDRESS1 | 117 N. Hickory Avenue |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Cookeville |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 38501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19316460880 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Richardson |
| EMPLOYER POC FIRST NAME | Tiea |
| EMPLOYER POC JOB TITLE | Office Manager |
| EMPLOYER POC ADDRESS1 | 117 N. Hickory Avenue |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | Cookeville |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 38501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19316460880 |
| EMPLOYER POC EMAIL | cumbkidney_diabetes@frontiernet.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wintersteen |
| AGENT ATTORNEY FIRST NAME | Charles |
| AGENT ATTORNEY MIDDLE NAME | H. |
| AGENT ATTORNEY ADDRESS1 | 53 W. Jackson Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 418 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13125660301 |
| AGENT ATTORNEY EMAIL ADDRESS | chw@wintersteenpatel.com |
| LAWFIRM NAME BUSINESS NAME | Charles H. Wintersteen, P.C. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Cookeville Regional Medical Center |
| WORKSITE ADDRESS1 | 1 Medical Center Blvd |
| LCA CASE WORKLOC1 CITY | Cookeville |
| WORKSITE COUNTY | PUTNAM |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 38501 |
| LCA CASE WAGE RATE FROM | 240000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 201323 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
