| LCA CASE NUMBER | I-200-20203-726919 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-07-21 |
| DECISION DATE | 2021-07-28 |
| ORIGINAL CERT DATE | 2020-07-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician, Pulmonary & Critical Care Medicine |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-10-22 |
| END DATE | 2023-10-21 |
| 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 | Spirit Physician Services, Inc. |
| TRADE NAME DBA | Holy Spirit Medical Center (Geisinger) |
| EMPLOYER ADDRESS1 | 100 North Academy Avenue |
| EMPLOYER CITY | Danville |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17822 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15702146918 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | McKinney |
| EMPLOYER POC FIRST NAME | Matthew |
| EMPLOYER POC JOB TITLE | Director, Talent Management |
| EMPLOYER POC ADDRESS1 | 100 North Academy Avenue |
| EMPLOYER POC CITY | Danville |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17822 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15102717003 |
| EMPLOYER POC EMAIL | mwmckinney@geisinger.edu |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Stock |
| AGENT ATTORNEY FIRST NAME | William |
| AGENT ATTORNEY ADDRESS1 | 1601 Market Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2600 |
| AGENT ATTORNEY CITY | Philadelphia |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19103 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158258600 |
| AGENT ATTORNEY EMAIL ADDRESS | mshah@klaskolaw.com |
| LAWFIRM NAME BUSINESS NAME | Klasko Immigration Law Partners, LLP |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 503 North 21st Street |
| LCA CASE WORKLOC1 CITY | Camp Hill |
| WORKSITE COUNTY | CUMBERLAND |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17011 |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE TO | 450000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 153067 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
