| LCA CASE NUMBER | I-200-20174-671982 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-22 |
| DECISION DATE | 2020-06-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physican Resident |
| SOC CODE | 29-9099.00 |
| SOC TITLE | Healthcare Practitioners and Technical Workers, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Prime Healthcare Services - Suburbah Hospital, LLC |
| TRADE NAME DBA | Suburban Community Hospital |
| EMPLOYER ADDRESS1 | 2701 Dekalb Pike |
| EMPLOYER CITY | East Norriton |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16102782000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Carrion |
| EMPLOYER POC FIRST NAME | Kevin |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS1 | 2701 Dekalb Pike |
| EMPLOYER POC CITY | East Norriton |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16102782000 |
| EMPLOYER POC EMAIL | kcarrion@primehealthcare.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Desposito |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 3480 E. Guasti Rd. |
| AGENT ATTORNEY CITY | Ontario |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91761 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19092354302.0 |
| AGENT ATTORNEY EMAIL ADDRESS | adesposito@primehealthcare.com |
| LAWFIRM NAME BUSINESS NAME | Prime Healthcare Management, Inc. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2701 DeKalb Pike |
| LCA CASE WORKLOC1 CITY | East Norriton |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 19401 |
| LCA CASE WAGE RATE FROM | 52500.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 46862.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
