| LCA CASE NUMBER | I-200-16175-671069 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/23/16 |
| DECISION DATE | 6/29/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/16 |
| EMPLOYMENT END DATE | 6/30/19 |
| 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 | 2028547747 |
| AGENT ATTORNEY NAME | KIM, MICHAEL |
| AGENT ATTORNEY CITY | INDIANAPOLIS |
| AGENT ATTORNEY STATE | IN |
| LCA CASE JOB TITLE | PHYSICIAN (GERIATRIC MEDICINE) |
| SOC CODE | 29-1063 |
| SOC NAME | INTERNISTS, GENERAL |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 61,339.00 |
| 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 | 190,000.00 |
| 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 |
