| LCA CASE NUMBER | I-200-21125-288200 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-05 |
| DECISION DATE | 2021-05-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Informatics Project Manager |
| SOC CODE | 15-1199.09 |
| SOC TITLE | Information Technology Project Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Lucile Packard Children's Hospital, Stanford |
| EMPLOYER ADDRESS1 | 4300 Bohannon Dr |
| EMPLOYER ADDRESS2 | Ste. 250 |
| EMPLOYER CITY | Menlo Park |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94025 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16502136656 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Panopio |
| EMPLOYER POC FIRST NAME | Beverly |
| EMPLOYER POC JOB TITLE | HR Compliance Consultant |
| EMPLOYER POC ADDRESS 1 | 4300 Bohannon Dr |
| EMPLOYER POC ADDRESS 2 | Ste. 250 |
| EMPLOYER POC CITY | Menlo Park |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94025 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16502136656 |
| EMPLOYER POC EMAIL | bpanopio@stanfordchildrens.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kimbrell |
| AGENT ATTORNEY FIRST NAME | Elaine |
| AGENT ATTORNEY ADDRESS1 | 3850 N. Causeway Blvd., |
| AGENT ATTORNEY ADDRESS2 | Ste. 555 |
| AGENT ATTORNEY CITY | Metairie |
| AGENT ATTORNEY STATE | LA |
| AGENT ATTORNEY POSTAL CODE | 70002 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15048305900 |
| AGENT ATTORNEY EMAIL ADDRESS | jreid@david-ware.com |
| LAWFIRM NAME BUSINESS NAME | Ware | Immigration |
|
| STATE OF HIGHEST COURT | LA |
| NAME OF HIGHEST STATE COURT | Louisiana Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 8985 Alcosta Blvd |
| WORKSITE ADDRESS2 | Apt 186 |
| LCA CASE WORKLOC1 CITY | San Ramon |
| WORKSITE COUNTY | CONTRA COSTA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94583 |
| LCA CASE WAGE RATE FROM | 152568 |
| LCA CASE WAGE RATE TO | 252054.4 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 134888 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Reid |
| PREPARER FIRST NAME | Justin |
| PREPARER MIDDLE INITIAL | S. |
| PREPARER BUSINESS NAME | Ware | Immigration |
| PREPARER EMAIL | jreid@david-ware.com |
