| LCA CASE NUMBER | I-200-20038-307102 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-07 |
| DECISION DATE | 2020-02-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Endocrinologist |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Pikeville Medical Center, Inc. |
| EMPLOYER ADDRESS1 | 911 Bypass Road |
| EMPLOYER CITY | Pikeville |
| EMPLOYER STATE | KY |
| EMPLOYER POSTAL CODE | 41501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16062183501 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Blackburn |
| EMPLOYER POC FIRST NAME | William |
| EMPLOYER POC MIDDLE NAME | Donovan |
| EMPLOYER POC JOB TITLE | CEO/VP Board of Directors |
| EMPLOYER POC ADDRESS1 | 911 Bypass Road |
| EMPLOYER POC CITY | Pikeville |
| EMPLOYER POC STATE | KY |
| EMPLOYER POC POSTAL CODE | 41501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16062183501 |
| EMPLOYER POC EMAIL | donovan.blackburn@pikevillehospital.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Watts |
| AGENT ATTORNEY FIRST NAME | Rachael |
| AGENT ATTORNEY MIDDLE NAME | Dawn |
| AGENT ATTORNEY ADDRESS1 | 911 Bypass Road |
| AGENT ATTORNEY CITY | Pikeville |
| AGENT ATTORNEY STATE | KY |
| AGENT ATTORNEY POSTAL CODE | 41501 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16062186562.0 |
| AGENT ATTORNEY EMAIL ADDRESS | rachael.watts@pikevillehospital.org |
| LAWFIRM NAME BUSINESS NAME | Pikeville Medical Center, Inc. |
| STATE OF HIGHEST COURT | KY |
| NAME OF HIGHEST STATE COURT | Kentucky Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 911 Bypass Road |
| LCA CASE WORKLOC1 CITY | Pikeville |
| WORKSITE COUNTY | PIKE |
| LCA CASE WORKLOC1 STATE | KY |
| WORKSITE POSTAL CODE | 41501 |
| LCA CASE WAGE RATE FROM | 280000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 197912.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
| PREPARER LAST NAME | Watts |
| PREPARER FIRST NAME | Rachael |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Pikeville Medical Center, Inc. |
| PREPARER EMAIL | rachael.watts@pikevillehospital.org |
