| LCA CASE NUMBER | I-200-22149-223276 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-29 |
| DECISION DATE | 2022-06-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Health Service Manager |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-10-01 |
| END DATE | 2025-09-30 |
| 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 | SPINAL PAIN & REHAB MEDICAL P.C. |
| EMPLOYER ADDRESS1 | 970 NORTH BROADWAY |
| EMPLOYER ADDRESS2 | SUITE 310 |
| EMPLOYER CITY | YONKERS |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19142071161 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | SHAH |
| EMPLOYER POC FIRST NAME | BINOD |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 970 NORTH BROADWAY |
| EMPLOYER POC ADDRESS2 | SUITE 310 |
| EMPLOYER POC CITY | YONKERS |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19142071161 |
| EMPLOYER POC EMAIL | BINODSHAH88@GMAIL.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Gautam |
| AGENT ATTORNEY FIRST NAME | Girija |
| AGENT ATTORNEY MIDDLE NAME | Prasad |
| AGENT ATTORNEY ADDRESS1 | 72-28 BROADWAY |
| AGENT ATTORNEY ADDRESS2 | 3RD FLOOR |
| AGENT ATTORNEY CITY | JACKSON HEIGHTS |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11372 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13478134431 |
| AGENT ATTORNEY EMAIL ADDRESS | GAUTAM@GAUTAMLAW.COM |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Girija P Gautam, PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 970 North Broadway |
| WORKSITE ADDRESS2 | Suite 310 |
| LCA CASE WORKLOC1 CITY | Yonkers |
| WORKSITE COUNTY | WESTCHESTER |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10701 |
| LCA CASE WAGE RATE FROM | 124000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 123864 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
| PREPARER LAST NAME | Gautam |
| PREPARER FIRST NAME | Girija |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | Law offices of Girija P. Gautam PLLC |
| PREPARER EMAIL | gautam@gautamlaw.com |
