| CASE NUMBER | I-200-24302-436718 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/28/2024 |
| DECISION DATE | 11/4/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Radiologist |
| SOC CODE | 29-1224.00 |
| SOC TITLE | Radiologists |
| FULL TIME POSITION | N |
| BEGIN DATE | 1/15/2025 |
| END DATE | 6/30/2026 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Professional Radiology, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 9825 Kenwood Road, Suite 105 |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Cincinnati |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 45242 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 15138724500 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Staton |
| EMPLOYER POC FIRST NAME | Roger |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 9825 Kenwood Road, Suite 105 |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Cincinnati |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 45242 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 15135270401 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | rstaton@professionalradiology.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Jacob |
| AGENT ATTORNEY FIRST NAME | Katie |
| AGENT ATTORNEY MIDDLE NAME | P |
| AGENT ATTORNEY ADDRESS1 | 255 E 5th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1900 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15139778591 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | katie.jacob@dinsmore.com |
| LAWFIRM NAME BUSINESS NAME | Dinsmore & Shohl LLP |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Supreme Court of Indiana |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1282 Boylston Street |
| WORKSITE ADDRESS2 | Unit 820 |
| WORKSITE CITY | Boston |
| WORKSITE COUNTY | BOSTON CITY |
| WORKSITE STATE | MA |
| WORKSITE POSTAL CODE | 2215 |
| WAGE RATE OF PAY FROM | $325.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $115.00 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | N/A |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-15 |
