| LCA CASE NUMBER | I-200-19067-612319 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2019-03-11 |
| DECISION DATE | 2019-03-15 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2019-03-18 |
| EMPLOYMENT END DATE | 2022-03-17 |
| LCA CASE EMPLOYER NAME | PROVIDENCE HEALTH SYSTEM |
| EMPLOYER ADDRESS | 1150 VARNUM STREET, NE |
| EMPLOYER CITY | WASHINGTON |
| EMPLOYER STATE | DC |
| EMPLOYER POSTAL CODE | 20017 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2028544029 |
| SECONDARY ENTITY | False |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY NAME | LINDSAYRAMSEY |
| AGENT ATTORNEY CITY | INDIANAPOLIS |
| AGENT ATTORNEY STATE | IN |
| LCA CASE JOB TITLE | PHYSICIAN (GERIATRIC MEDICINE) |
| SOC CODE | 29-1063 |
| SOC NAME | INTERNISTS, GENERAL |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| FULL TIME POSITION | True |
| PREVAILING WAGE | 55744 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | 1 |
| PW SOURCE | OES |
| LCA CASE WAGE RATE FROM | 216000 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | False |
| LCA CASE WORKLOC1 CITY | Washington |
| WORKSITE COUNTY | Washington |
| LCA CASE WORKLOC1 STATE | DC |
| WORKSITE POSTAL CODE | 20017 |
| WILLFUL VIOLATOR | False |
