| LCA CASE NUMBER | I-200-22112-097639 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-22 |
| DECISION DATE | 2022-04-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Residnet Physician |
| SOC CODE | 29-9099.00 |
| SOC TITLE | Healthcare Practitioners and Technical Workers, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-07-01 |
| END DATE | 2025-06-30 |
| 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 | Marietta Memorial Hospital |
| EMPLOYER ADDRESS1 | 401 Matthew St. |
| EMPLOYER CITY | Marietta |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 45750 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17403765545 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Weaver |
| EMPLOYER POC FIRST NAME | Dan |
| EMPLOYER POC MIDDLE NAME | A. |
| EMPLOYER POC JOB TITLE | Senior Director of Human Resources and Support Services |
| EMPLOYER POC ADDRESS1 | 401 Matthew St. |
| EMPLOYER POC CITY | Marietta |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 45750 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17403765545 |
| EMPLOYER POC EMAIL | dweaver@mhsystem.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Tschugunov |
| AGENT ATTORNEY FIRST NAME | Eleanor |
| AGENT ATTORNEY MIDDLE NAME | Jane |
| AGENT ATTORNEY ADDRESS1 | 6352 Olde Eight Rd. |
| AGENT ATTORNEY CITY | Peninsula |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44264 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13306074778 |
| AGENT ATTORNEY EMAIL ADDRESS | ejt@etimmlaw.com |
| LAWFIRM NAME BUSINESS NAME | The Law Office of Eleanor J. Tschugunov, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Ohio Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 401 Matthew St. |
| LCA CASE WORKLOC1 CITY | Marietta |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 45750 |
| LCA CASE WAGE RATE FROM | 55452.8 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 49816 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
