| LCA CASE NUMBER | I-200-21090-186842 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-31 |
| DECISION DATE | 2021-04-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PEDIATRICIAN |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-03 |
| END DATE | 2024-08-02 |
| 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 | KEYSTONE RURAL HEALTH CONSORTIA, INC. |
| EMPLOYER ADDRESS1 | 90 EAST 2ND STREET |
| EMPLOYER CITY | EMPORIUM |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15834 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18142452119 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | BENNARDI |
| EMPLOYER POC FIRST NAME | KRISTIE |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS 1 | 90 EAST 2ND STREET |
| EMPLOYER POC CITY | EMPORIUM |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15834 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18142452119 |
| EMPLOYER POC EMAIL | kriben@keystoneruralhealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | CASTRODALE |
| AGENT ATTORNEY FIRST NAME | ALEXANDER |
| AGENT ATTORNEY MIDDLE NAME | R. |
| AGENT ATTORNEY ADDRESS1 | 625 LIBERTY AVE |
| AGENT ATTORNEY ADDRESS2 | FLOOR 5 |
| AGENT ATTORNEY CITY | PITTSBURGH |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14122974712 |
| AGENT ATTORNEY EMAIL ADDRESS | alex.castrodale@dentons.com |
| LAWFIRM NAME BUSINESS NAME | DENTONS COHEN & GRIGSBY, P.C. |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF PENNSYLVANIA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 49 RIDGMONT DRIVE |
| WORKSITE ADDRESS2 | SUITE 1 |
| LCA CASE WORKLOC1 CITY | RIDGWAY |
| WORKSITE COUNTY | ELK |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 15853 |
| LCA CASE WAGE RATE FROM | 190000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 179712 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 | CASTRODALE |
| PREPARER FIRST NAME | ALEXANDER |
| PREPARER MIDDLE INITIAL | R. |
| PREPARER BUSINESS NAME | DENTONS COHEN & GRIGSBY, P.C. |
| PREPARER EMAIL | alex.castrodale@dentons.com |
