| LCA CASE NUMBER | I-200-18225-403090 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 8/13/18 |
| DECISION DATE | 8/17/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/15/18 |
| EMPLOYMENT END DATE | 9/15/21 |
| LCA CASE EMPLOYER NAME | PUGET SOUND SURGICAL CENTER |
| EMPLOYER BUSINESS DBA | EVIVA |
| EMPLOYER ADDRESS | 19930 BALLINGER WAY NE |
| EMPLOYER CITY | SHORELINE |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98155 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4257782220 |
| EMPLOYER PHONE EXT | 230 |
| AGENT REPRESENTING EMPLOYER | N |
| AGENT ATTORNEY NAME | , |
| LCA CASE JOB TITLE | RESEARCH ASSOCIATE |
| SOC CODE | 31-9099 |
| SOC NAME | HEALTHCARE SUPPORT WORKERS, ALL OTHER |
| NAICS CODE | 621493 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | N |
| PREVAILING WAGE | 15.00 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | N/A |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2018 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 15.00 |
| LCA CASE WAGE RATE TO | 25.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | Y |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | Y |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | SHORELINE |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98155 |
