| LCA CASE NUMBER | I-200-15280-929918 |
| STATUS | CERTIFIED-WITHDRAWN |
| LCA CASE SUBMIT | 10/15/15 |
| DECISION DATE | 8/3/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 11/1/15 |
| EMPLOYMENT END DATE | 10/31/18 |
| LCA CASE EMPLOYER NAME | PROVIDENCE HOSPITAL |
| EMPLOYER ADDRESS | 1150 VARNUM STREET, NE |
| EMPLOYER CITY | WASHINGTON |
| EMPLOYER STATE | DC |
| EMPLOYER POSTAL CODE | 20017 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2028547000 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | KIM, MICHAEL |
| AGENT ATTORNEY CITY | INDIANAPOLIS |
| AGENT ATTORNEY STATE | IN |
| LCA CASE JOB TITLE | PHYSICIAN (HOSPITALIST) |
| SOC CODE | 29-1063 |
| SOC NAME | INTERNISTS, GENERAL |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 61,339.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 209,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | WASHINGTON |
| WORKSITE COUNTY | DISTRICT OF COLUMBIA |
| LCA CASE WORKLOC1 STATE | DC |
| WORKSITE POSTAL CODE | 20017 |
| ORIGINAL CERT DATE | 10/19/15 |
