| LCA CASE NUMBER | I-200-20052-341849 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-21 |
| DECISION DATE | 2020-02-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| 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 | Main Line HealthCare |
| EMPLOYER ADDRESS1 | 3803 W. Chester Pike |
| EMPLOYER ADDRESS2 | Building H, Suite 160 |
| EMPLOYER CITY | Newtown Square |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19073 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14843371411 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Mendez |
| EMPLOYER POC FIRST NAME | Eric |
| EMPLOYER POC MIDDLE NAME | M. |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 3803 W. Chester Pike |
| EMPLOYER POC ADDRESS2 | Building H, Suite 160 |
| EMPLOYER POC CITY | Newtown Square |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19073 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14843371411 |
| EMPLOYER POC EMAIL | mendeze@mlhs.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Goldblum |
| AGENT ATTORNEY FIRST NAME | Jane |
| AGENT ATTORNEY MIDDLE NAME | W. |
| AGENT ATTORNEY ADDRESS1 | 101 Greenwood Avenue |
| AGENT ATTORNEY ADDRESS2 | 380 |
| AGENT ATTORNEY CITY | Jenkintown |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19046 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158853600.0 |
| AGENT ATTORNEY EMAIL ADDRESS | karen@goldblumfirm.com |
| LAWFIRM NAME BUSINESS NAME | Goldblum and Pollins, PC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Paoli Hospital |
| WORKSITE ADDRESS1 | 255 W. Lancaster Avenue |
| LCA CASE WORKLOC1 CITY | Paoli |
| WORKSITE COUNTY | CHESTER |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 19301 |
| LCA CASE WAGE RATE FROM | 102.75 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 57.64 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
