| LCA CASE NUMBER | I-200-22026-854364 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-01-26 |
| DECISION DATE | 2022-02-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician-Pathology |
| SOC CODE | 29-1069.07 |
| SOC TITLE | Pathologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-03-13 |
| END DATE | 2025-03-12 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Clement J. Zablocki Veterans Affairs Medical Center |
| EMPLOYER ADDRESS1 | 5000 W. National Ave |
| EMPLOYER CITY | Milwaukee |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53295 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14143842000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Pawlikowski |
| EMPLOYER POC FIRST NAME | Scott |
| EMPLOYER POC MIDDLE NAME | S |
| EMPLOYER POC JOB TITLE | Acting Chief Medical Officer VISN 12 |
| EMPLOYER POC ADDRESS1 | 5000 W. National Ave. |
| EMPLOYER POC CITY | Milwaukee |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53295 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17084923926 |
| EMPLOYER POC EMAIL | Scott.Pawlikowski@va.gov |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Captain James A Lovell Federal Health Care Center |
| WORKSITE ADDRESS1 | 5000 W. National Ave |
| LCA CASE WORKLOC1 CITY | Milwaukee |
| WORKSITE COUNTY | MILWAUKEE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53295 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Bower |
| PREPARER FIRST NAME | Jacob |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Clement J. Zablocki Veterans Affairs Medical Center |
| PREPARER EMAIL | Jacob.Bower@va.gov |
