| LCA CASE NUMBER | I-200-21133-311656 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-13 |
| DECISION DATE | 2021-05-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Resident Family Medicine |
| SOC CODE | 29-9099.00 |
| SOC TITLE | Healthcare Practitioners and Technical Workers, 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 | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | United Hospital Center Inc |
| EMPLOYER ADDRESS1 | 327 Medical Park Drive |
| EMPLOYER CITY | Bridgeport |
| EMPLOYER STATE | WV |
| EMPLOYER POSTAL CODE | 26330 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16813421613 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Blake |
| EMPLOYER POC FIRST NAME | Laura |
| EMPLOYER POC MIDDLE NAME | Lee |
| EMPLOYER POC JOB TITLE | Director Physician Services |
| EMPLOYER POC ADDRESS 1 | 327 Medical Park Drive |
| EMPLOYER POC CITY | Bridgeport |
| EMPLOYER POC STATE | WV |
| EMPLOYER POC POSTAL CODE | 26330 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16813421613 |
| EMPLOYER POC EMAIL | laura.blake@wvumedicine.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Johnston |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | Alan |
| AGENT ATTORNEY ADDRESS1 | 1300 Eye St NW Ste 400E |
| AGENT ATTORNEY CITY | Washington |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20005 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12025881088 |
| AGENT ATTORNEY EMAIL ADDRESS | david@davidjohnstonlaw.com |
| LAWFIRM NAME BUSINESS NAME | David Johnston and Assoc PLLC |
| STATE OF HIGHEST COURT | DC |
|
| NAME OF HIGHEST STATE COURT | DC Superior Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 327 Medical Park Drive |
| LCA CASE WORKLOC1 CITY | Bridgeport |
| WORKSITE COUNTY | HARRISON |
| LCA CASE WORKLOC1 STATE | WV |
| WORKSITE POSTAL CODE | 26330 |
| LCA CASE WAGE RATE FROM | 63000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 23691 |
| 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 |
