| LCA CASE NUMBER | I-200-19262-364555 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-09-26 |
| DECISION DATE | 2019-10-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PULMONARY AND CRITICAL CARE PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC TITLE | PHYSICIANS AND SURGEONS, ALL OTHER |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-03-24 |
| END DATE | 2023-03-23 |
| 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 | KADLEC REGIONAL MEDICAL CENTER |
| EMPLOYER ADDRESS1 | 888 SWIFT BLVD |
| EMPLOYER CITY | RICHLAND |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 99352 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5099464611 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | JEANES |
| EMPLOYER POC FIRST NAME | MARIA |
| EMPLOYER POC MIDDLE NAME | SALAZAR |
| EMPLOYER POC JOB TITLE | IMMIGRATION PROGRAM MANAGER |
| EMPLOYER POC ADDRESS1 | 1801 LIND AVE SW |
| EMPLOYER POC ADDRESS2 | PARISEAU BUILDING 2ND FLOOR |
| EMPLOYER POC CITY | RENTON |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98057 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 4255253954 |
| EMPLOYER POC EMAIL | MARIA.JEANES@PROVIDENCE.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | BETSY |
| AGENT ATTORNEY FIRST NAME | BETSY |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 1801 LIND AVE SW |
| AGENT ATTORNEY ADDRESS2 | PARISEAU BUILDING, 2ND FLOOR |
| AGENT ATTORNEY CITY | RENTON |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98057 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 4255253940.0 |
| AGENT ATTORNEY EMAIL ADDRESS | BETSY.VO@PROVIDENCE.ORG |
| LAWFIRM NAME BUSINESS NAME | PROVIDENCE HEALTH & SERVICES |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | WASHINGTON STATE SUPREME COURT |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1100 Goethals Dr. |
| WORKSITE ADDRESS2 | Ste. E |
| LCA CASE WORKLOC1 CITY | Richland |
| WORKSITE COUNTY | Benton |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 99352 |
| LCA CASE WAGE RATE FROM | 368707.89 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | V |
| PW OES YEAR | 2019 |
| PW OTHER SOURCE | OES |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | VO |
| PREPARER FIRST NAME | BETSY |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | PROVIDENCE HEALTH & SERVICES |
| PREPARER EMAIL | BETSY.VO@PROVIDENCE.ORG |
