| LCA CASE NUMBER | I-200-21085-176220 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-26 |
| DECISION DATE | 2021-04-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN - ADVANCED HEART FAILURE |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | THE QUEEN'S MEDICAL CENTER |
| EMPLOYER ADDRESS1 | 1301 PUNCHBOWL STREET |
| EMPLOYER CITY | HONOLULU |
| EMPLOYER STATE | HI |
| EMPLOYER POSTAL CODE | 96813 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18086911000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | NITAO |
| EMPLOYER POC FIRST NAME | JOHN |
| EMPLOYER POC MIDDLE NAME | SHINICHI |
| EMPLOYER POC JOB TITLE | SECRETARY |
| EMPLOYER POC ADDRESS 1 | 1301 PUNCHBOWL STREET |
| EMPLOYER POC CITY | HONOLULU |
| EMPLOYER POC STATE | HI |
| EMPLOYER POC POSTAL CODE | 96813 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18086915995 |
| EMPLOYER POC EMAIL | JNITAO@QUEENS.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | UEOKA |
| AGENT ATTORNEY FIRST NAME | ROBERT |
| AGENT ATTORNEY MIDDLE NAME | ARTHUR |
| AGENT ATTORNEY ADDRESS1 | 1000 BISHOP STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 503 |
| AGENT ATTORNEY CITY | HONOLULU |
| AGENT ATTORNEY STATE | HI |
| AGENT ATTORNEY POSTAL CODE | 96813 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18085373500 |
| AGENT ATTORNEY EMAIL ADDRESS | ROBERT@BISHOPSTREETLAW.COM |
| LAWFIRM NAME BUSINESS NAME | BISHOP STREET LAW GROUP |
| STATE OF HIGHEST COURT | HI |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF THE STATE OF HAWAII |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1301 PUNCHBOWL STREET |
| LCA CASE WORKLOC1 CITY | HONOLULU |
| WORKSITE COUNTY | HONOLULU |
| LCA CASE WORKLOC1 STATE | HI |
| WORKSITE POSTAL CODE | 96813 |
| LCA CASE WAGE RATE FROM | 431897 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 431897 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2019 |
| PW SURVEY PUBLISHER | SULLIVANCOTTER AND ASSOCIATES, INC. |
| PW SURVEY NAME | PHYSICIAN COMPENSATION AND PRODUCTIVITY SURVEY |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | UEOKA |
| PREPARER FIRST NAME | ROBERT |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | BISHOP STREET LAW GROUP |
| PREPARER EMAIL | ROBERT@BISHOPSTREETLAW.COM |
