| LCA CASE NUMBER | I-200-20080-424313 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-20 |
| DECISION DATE | 2020-03-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 19-1042.00 |
| SOC TITLE | Medical Scientists, Except Epidemiologists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | GREAT LAKES PHYSICIAN PRACTICE, P.C. |
| EMPLOYER ADDRESS1 | US STEEL TOWER, 57TH FLOOR |
| EMPLOYER ADDRESS2 | 600 GRANT STREET |
| EMPLOYER CITY | PITTSBURGH |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15219 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14126478243 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | STEVENSON |
| EMPLOYER POC FIRST NAME | LISA |
| EMPLOYER POC MIDDLE NAME | CLAYPOOL |
| EMPLOYER POC JOB TITLE | SENIOR ASSOCIATE COUNSEL |
| EMPLOYER POC ADDRESS1 | US STEEL TOWER, 57TH FLOOR |
| EMPLOYER POC ADDRESS2 | 600 GRANT STREET |
| EMPLOYER POC CITY | PITTSBURGH |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15219 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14126478243 |
| EMPLOYER POC EMAIL | KELLNERT@UPMC.EDU |
| AGENT REPRESENTING EMPLOYER | N |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 15 S. Main St. |
| LCA CASE WORKLOC1 CITY | Jamestown |
| WORKSITE COUNTY | CHAUTAUQUA |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 14701 |
| LCA CASE WAGE RATE FROM | 220000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 122678.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | KELLNER |
| PREPARER FIRST NAME | TESSA |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | UPMC Corporate |
| PREPARER EMAIL | KELLNERT@UPMC.EDU |
