| LCA CASE NUMBER | I-200-18177-325519 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/28/18 |
| DECISION DATE | 7/5/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/18 |
| EMPLOYMENT END DATE | 7/1/21 |
| LCA CASE EMPLOYER NAME | THE WILLIAMSPORT HOSPITAL |
| EMPLOYER ADDRESS | 700 HIGH STREET |
| EMPLOYER CITY | WILLIAMSPORT |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4126478243 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | DGEBUADZE, ALEXANDER |
| AGENT ATTORNEY CITY | WOODLAND HILLS |
| AGENT ATTORNEY STATE | CA |
| LCA CASE JOB TITLE | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| SOC CODE | 29-1151 |
| SOC NAME | NURSE ANESTHETISTS |
| NAICS CODE | 62211 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 162,490.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2018 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 194,043.20 |
| 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 | WILLIAMSPORT |
| WORKSITE COUNTY | LYCOMING |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17701 |
