| LCA CASE NUMBER | I-200-21111-246706 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-21 |
| DECISION DATE | 2021-04-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | NEPHROLOGIST |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-15 |
| END DATE | 2024-07-14 |
| 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 | WAYNE MEMORIAL COMMUNITY HEALTH CENTERS |
| EMPLOYER ADDRESS1 | 601 PARK STREET |
| EMPLOYER CITY | HONESDALE |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 18431 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15702538450 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | JACKSON |
| EMPLOYER POC FIRST NAME | FREDERICK |
| EMPLOYER POC JOB TITLE | EXECUTIVE DIRECTOR |
| EMPLOYER POC ADDRESS 1 | 601 PARK STREET |
| EMPLOYER POC CITY | HONESDALE |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 18431 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15702538450 |
| EMPLOYER POC EMAIL | JACKSONF@WMH.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | PEDERSON |
| AGENT ATTORNEY FIRST NAME | JAN |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 6931 Arlington Road, Suite 450 |
| AGENT ATTORNEY CITY | BETHESDA |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 20814 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12022564989 |
| AGENT ATTORNEY EMAIL ADDRESS | jan@wcslaw.com |
| LAWFIRM NAME BUSINESS NAME | Wright, Constable & Skeen, LLP |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | DC COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 601 PARK STREET |
| LCA CASE WORKLOC1 CITY | HONESDALE |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 18431 |
| LCA CASE WAGE RATE FROM | 235000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
