| LCA CASE NUMBER | I-200-18129-047788 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 5/9/18 |
| DECISION DATE | 5/15/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/19/18 |
| EMPLOYMENT END DATE | 8/18/21 |
| LCA CASE EMPLOYER NAME | WAYNE MEMORIAL COMMUNITY HEALTH CENTERS |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 601 PARK STREET |
| EMPLOYER CITY | HONESDALE |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 18431 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 5702538450 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | POPIEL, MARK |
| AGENT ATTORNEY CITY | BUFFALO |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 62111 |
| 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 | 143,915.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| 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 |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | HAMLIN |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 18427 |
