| LCA CASE NUMBER | I-200-23011-694455 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-01-11 |
| DECISION DATE | 2023-01-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1221 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-03-11 |
| END DATE | 2026-03-10 |
| 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 | Columbus Ambulatory Healthcare Services, Inc. |
| TRADE NAME DBA | Piedmont Columbus Regional Medical Group |
| EMPLOYER ADDRESS1 | 707 Center Street |
| EMPLOYER ADDRESS2 | Ste. 110 |
| EMPLOYER CITY | Columbus |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31901 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17066606103 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hill |
| EMPLOYER POC FIRST NAME | M. Scott |
| EMPLOYER POC JOB TITLE | C.E.O. |
| EMPLOYER POC ADDRESS1 | 707 Center Street |
| EMPLOYER POC ADDRESS2 | Ste. 110 |
| EMPLOYER POC CITY | Columbus |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31901 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17066606103 |
| EMPLOYER POC EMAIL | scott.hill@piedmont.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Murray |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 48 Free Street |
| AGENT ATTORNEY ADDRESS2 | Ste. 300 |
| AGENT ATTORNEY CITY | Portland |
| AGENT ATTORNEY STATE | ME |
| AGENT ATTORNEY POSTAL CODE | 04101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12076137331 |
|
| AGENT ATTORNEY EMAIL ADDRESS | michael@fordmurraylaw.com |
| LAWFIRM NAME BUSINESS NAME | FordMurray |
| STATE OF HIGHEST COURT | ME |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2000 10th Avenue |
| LCA CASE WORKLOC1 CITY | Columbus |
| WORKSITE COUNTY | MUSCOGEE |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 31901 |
| LCA CASE WAGE RATE FROM | 265000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 206752 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Murray |
| PREPARER FIRST NAME | Michael |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | FordMurray |
| PREPARER EMAIL | michael@fordmurraylaw.com |
