| LCA CASE NUMBER | I-200-20258-820527 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-14 |
| DECISION DATE | 2020-09-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician-Internist |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2021-01-04 |
| END DATE | 2024-01-03 |
| 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 | Warren General Hospital |
| EMPLOYER ADDRESS1 | 2 West Crescent Park |
| EMPLOYER CITY | Warren |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 16365 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18147234973 |
| EMPLOYER PHONE EXT | 1710.0 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Sturdevant |
| EMPLOYER POC FIRST NAME | Stephanie |
| EMPLOYER POC JOB TITLE | Physician Relations |
| EMPLOYER POC ADDRESS1 | 2 West Crescent Park |
| EMPLOYER POC CITY | Warren |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 16365 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18147234973 |
| EMPLOYER POC PHONE EXT | 1710.0 |
| EMPLOYER POC EMAIL | ststephanie@wgh.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Southworth |
| AGENT ATTORNEY FIRST NAME | James |
| AGENT ATTORNEY MIDDLE NAME | Wilson |
| AGENT ATTORNEY ADDRESS1 | 2 PPG Place |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Pittsburgh |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14123925371.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jsouthworth@dmclaw.com |
| LAWFIRM NAME BUSINESS NAME | Dickie McCamey Chilcote PC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2 West Crescent Park |
| LCA CASE WORKLOC1 CITY | Warren |
| WORKSITE COUNTY | WARREN |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 16365 |
| LCA CASE WAGE RATE FROM | 226075.0 |
| LCA CASE WAGE RATE TO | 240000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 226075.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Southworth |
| PREPARER FIRST NAME | James |
| PREPARER MIDDLE INITIAL | W |
| PREPARER BUSINESS NAME | Dickie McCamey Chilcote PC |
| PREPARER EMAIL | jsouthworth@dmclaw.com |
