| LCA CASE NUMBER | I-200-21144-338757 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-24 |
| DECISION DATE | 2021-06-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-01 |
| END DATE | 2024-08-31 |
| 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 | Department of Veteran Affairs Medical Center |
| TRADE NAME DBA | VA MEDICAL CENTER |
| EMPLOYER ADDRESS1 | 921 NE 13TH STREET |
| EMPLOYER CITY | Oklahoma City |
| EMPLOYER STATE | OK |
| EMPLOYER POSTAL CODE | 73104 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14054565127 |
| NAICS CODE | 92314 |
| EMPLOYER POC LAST NAME | Renlund |
| EMPLOYER POC FIRST NAME | David |
| EMPLOYER POC MIDDLE NAME | F |
| EMPLOYER POC JOB TITLE | HR Specialist |
| EMPLOYER POC ADDRESS 1 | 921 NE 13th Street |
| EMPLOYER POC CITY | Oklahoma City |
| EMPLOYER POC STATE | OK |
| EMPLOYER POC POSTAL CODE | 73104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14054565127 |
| EMPLOYER POC EMAIL | David.Renlund@va.gov |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 921 NE 13th Street |
| LCA CASE WORKLOC1 CITY | Oklahoma City |
| WORKSITE COUNTY | OKLAHOMA |
| LCA CASE WORKLOC1 STATE | OK |
| WORKSITE POSTAL CODE | 73104 |
| LCA CASE WAGE RATE FROM | 253872 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 142251 |
| 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 | Renlund |
| PREPARER FIRST NAME | David |
| PREPARER MIDDLE INITIAL | F |
| PREPARER BUSINESS NAME | VA MEDICAL CENTER |
| PREPARER EMAIL | David.Renlund@va.gov |