| LCA CASE NUMBER | I-200-16061-385463 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/14/16 |
| DECISION DATE | 3/18/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 6/1/16 |
| EMPLOYMENT END DATE | 6/1/19 |
| LCA CASE EMPLOYER NAME | PROVIDENCE HEALTH SYSTEM |
| EMPLOYER ADDRESS | 1150 VARNUM STREET, N.E. |
| EMPLOYER CITY | WASHINGTON |
| EMPLOYER STATE | DC |
| EMPLOYER POSTAL CODE | 20017 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2028547371 |
| AGENT ATTORNEY NAME | KIM, MICHAEL |
| AGENT ATTORNEY CITY | INDIANAPOLIS |
| AGENT ATTORNEY STATE | IN |
| LCA CASE JOB TITLE | PROJECT MANAGER - QUALITY LIAISON |
| SOC CODE | 15-1142 |
| SOC NAME | NETWORK AND COMPUTER SYSTEMS ADMINISTRATORS |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 63,710.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 85,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | WASHINGTON |
| WORKSITE COUNTY | N/A |
| LCA CASE WORKLOC1 STATE | DC |
| WORKSITE POSTAL CODE | 20017 |
