| LCA CASE NUMBER | I-200-21020-023793 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-20 |
| DECISION DATE | 2021-01-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Fellow |
| SOC CODE | 29-1199.00 |
| SOC TITLE | Health Diagnosing and Treating Practitioners, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2022-06-30 |
| 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 | Main Line HealthCare |
| EMPLOYER ADDRESS1 | 3803 W. Chester Pike, Bldg. H |
| EMPLOYER ADDRESS2 | Suite 160 |
| EMPLOYER CITY | Newton Square |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19073 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14843371587 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | MENDEZ |
| EMPLOYER POC FIRST NAME | Eric |
| EMPLOYER POC MIDDLE NAME | M. |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS 1 | 3803 W. Chester Pike |
| EMPLOYER POC ADDRESS 2 | Bldg. H, Suite 160 |
| EMPLOYER POC CITY | Newtown Square |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19073 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14843371587 |
| EMPLOYER POC EMAIL | mendeze@mlhs.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | POLLINS |
| AGENT ATTORNEY FIRST NAME | Karen |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 101 Greenwood Ave. |
| AGENT ATTORNEY ADDRESS2 | Suite 380 |
| AGENT ATTORNEY CITY | Jenkintown |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19046 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158853600 |
| AGENT ATTORNEY EMAIL ADDRESS | karen@goldblumfirm.com |
| LAWFIRM NAME BUSINESS NAME | Goldblum & Pollins, P.C. |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | PENNSYLVANIA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 100 Lancaster Ave. |
| LCA CASE WORKLOC1 CITY | Wynnewood |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 19096 |
| LCA CASE WAGE RATE FROM | 125000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 45843 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | POLLINS |
| PREPARER FIRST NAME | Karen |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | Goldblum & Pollins, P.C. |
| PREPARER EMAIL | karen@goldblumfirm.com |
