| LCA CASE NUMBER | I-200-17034-694912 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/3/2017 |
| DECISION DATE | 2/9/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/2017 |
| EMPLOYMENT END DATE | 6/30/2020 |
| LCA CASE EMPLOYER NAME | DUBOIS REGIONAL MEDICAL CENTER |
| EMPLOYER BUSINESS DBA | D/B/A PENN HIGHLANDS DUBOIS |
| EMPLOYER ADDRESS | 100 HOSPITAL AVENUE |
| EMPLOYER CITY | DUBOIS |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 8143712200 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | CASTRODALE, ALEXANDER |
| AGENT ATTORNEY CITY | PITTSBURGH |
| AGENT ATTORNEY STATE | PA |
| LCA CASE JOB TITLE | FAMILY MEDICINE PHYSICIAN |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 226,928.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 250,000.00 |
| LCA CASE WAGE RATE TO | 250,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | RIDGWAY |
| WORKSITE COUNTY | ELK |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 15853 |
