| LCA CASE NUMBER | I-200-21152-359282 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-06-01 |
| DECISION DATE | 2023-04-20 |
| ORIGINAL CERT DATE | 2021-06-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician, Hospitalist |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-18 |
| END DATE | 2024-06-17 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Geisinger Clinic |
| EMPLOYER ADDRESS1 | 100 N. Academy Avenue |
| EMPLOYER CITY | Danville |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17822 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15702707003 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | McKinney |
| EMPLOYER POC FIRST NAME | Matthew |
| EMPLOYER POC JOB TITLE | Director, Talent Management |
| EMPLOYER POC ADDRESS1 | 100 N. Academy Avenue |
| EMPLOYER POC CITY | Danville |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17822 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15702717003 |
| EMPLOYER POC EMAIL | mwmckinney@geisinger.edu |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Stock |
| AGENT ATTORNEY FIRST NAME | William |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 1601 Market Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2600 |
| AGENT ATTORNEY CITY | Philadelphia |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19103 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158258600 |
| AGENT ATTORNEY EMAIL ADDRESS | mgross@klaskolaw.com |
| LAWFIRM NAME BUSINESS NAME | Klasko Immigration Law Partners, LLP |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Mount Nittany Medical Center |
| WORKSITE ADDRESS1 | 1800 E Park Avenue |
| LCA CASE WORKLOC1 CITY | State College |
| WORKSITE COUNTY | CENTRE |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 16803 |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE TO | 3000000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 58261 |
| 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 |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
