| LCA CASE NUMBER | I-200-18113-082048 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2018-04-23 |
| DECISION DATE | 2019-10-29 |
| ORIGINAL CERT DATE | 2018-04-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | INSTRUCTOR |
| SOC CODE | 29-1069 |
| SOC TITLE | PHYSICIANS AND SURGEONS, ALL OTHER |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2018-08-28 |
| END DATE | 2020-08-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | UNIVERSITY OF VIRGINIA HEALTH SERVICES FOUNDATION |
| TRADE NAME DBA | UNIVERSITY OF VIRGINIA PHYSICIANS GROUP |
| EMPLOYER ADDRESS1 | 4105 LEWIS AND CLARK DRIVE |
| EMPLOYER CITY | CHARLOTTESVILLE |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22911 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4342951000 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | CASELLA |
| EMPLOYER POC FIRST NAME | JUDY |
| EMPLOYER POC MIDDLE NAME | J |
| EMPLOYER POC JOB TITLE | MANAGER, DELEGATED CREDENTALING |
| EMPLOYER POC ADDRESS1 | 4105 LEWIS AND CLARK DRIVE |
| EMPLOYER POC CITY | CHARLOTTESVILLE |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22911 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 4349806140 |
| EMPLOYER POC EMAIL | TJW5X@VIRGINIA.EDU |
| AGENT REPRESENTING EMPLOYER | N |
| WORKSITE ADDRESS1 | 1215 LEE STREET |
| LCA CASE WORKLOC1 CITY | CHARLOTTESVILLE |
| WORKSITE COUNTY | ALBEMARLE |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22904 |
| LCA CASE WAGE RATE FROM | 34.23 |
| LCA CASE WAGE RATE UNIT | Hour |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | WHITE |
| PREPARER FIRST NAME | TIMOTHY |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | UNIVERSITY OF VIRGINIA |
| PREPARER EMAIL | TJW5X@VIRGINIA.EDU |