| LCA CASE NUMBER | I-200-21209-487343 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-28 |
| DECISION DATE | 2021-08-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | STAFF PHYSICIAN-EMERGENCY MEDICINE |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-15 |
| END DATE | 2024-09-14 |
| 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 | GUAM HEALTHCARE DEVELOPMENT, INC. |
| TRADE NAME DBA | GUAM REGIONAL MEDICAL CITY |
| EMPLOYER ADDRESS1 | 133 ROUTE 3 |
| EMPLOYER CITY | DEDEDO |
| EMPLOYER STATE | GU |
| EMPLOYER POSTAL CODE | 96929 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16716455500 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | HUNTSMAN |
| EMPLOYER POC FIRST NAME | CHARLOTTE |
| EMPLOYER POC MIDDLE NAME | DIMARUCUT |
| EMPLOYER POC JOB TITLE | SR VP, HUMAN RESOURCES & ORGANIZATIONAL DEVELOPMENT |
| EMPLOYER POC ADDRESS1 | 133 ROUTE 3 |
| EMPLOYER POC CITY | DEDEDO |
| EMPLOYER POC STATE | GU |
| EMPLOYER POC POSTAL CODE | 96929 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16716455680 |
| EMPLOYER POC EMAIL | Charlotte.Huntsman@GRMC.gu |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | SWAVELY |
| AGENT ATTORNEY FIRST NAME | MELINDA |
| AGENT ATTORNEY MIDDLE NAME | SUE |
| AGENT ATTORNEY ADDRESS1 | 865 SOUTH MARINE CORPS DRIVE, SUITE 201 |
| AGENT ATTORNEY CITY | TAMUNING |
| AGENT ATTORNEY STATE | GU |
| AGENT ATTORNEY POSTAL CODE | 96913 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16716461222 |
| AGENT ATTORNEY PHONE EXT | 111 |
| AGENT ATTORNEY EMAIL ADDRESS | swavely@guamlawoffice.com |
|
| LAWFIRM NAME BUSINESS NAME | ROBERTS FOWLER & VISOSKY LLP |
| STATE OF HIGHEST COURT | GU |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 133 ROUTE 3 |
| LCA CASE WORKLOC1 CITY | DEDEDO |
| WORKSITE COUNTY | UNKOWN NAME |
| LCA CASE WORKLOC1 STATE | GU |
| WORKSITE POSTAL CODE | 96929 |
| LCA CASE WAGE RATE FROM | 210 |
| LCA CASE WAGE RATE TO | 210.01 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 143.6 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | SWAVELY |
| PREPARER FIRST NAME | MELINDA |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | ROBERTS FOWLER & VISOSKY LLP |
| PREPARER EMAIL | swavely@guamlawoffice.com |
