| LCA CASE NUMBER | I-200-17102-456840 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/13/2017 |
| DECISION DATE | 4/19/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/3/2017 |
| EMPLOYMENT END DATE | 7/2/2020 |
| LCA CASE EMPLOYER NAME | WELLSPAN MEDICAL GROUP |
| EMPLOYER BUSINESS DBA | WELLSPAN HEALTH |
| EMPLOYER ADDRESS | 3501 CONCORD ROAD |
| EMPLOYER CITY | YORK |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17402 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7178515445 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | RUIZ-STEELE, SILAS |
| AGENT ATTORNEY CITY | READING |
| AGENT ATTORNEY STATE | PA |
| LCA CASE JOB TITLE | INTERNAL MEDICINE HOSPITALIST |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 212,264.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 250,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | YORK |
| WORKSITE COUNTY | YORK |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17403 |
