| LCA CASE NUMBER | I-200-21210-492181 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-29 |
| DECISION DATE | 2021-08-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician Assistant |
| SOC CODE | 29-1071.00 |
| SOC TITLE | Physician Assistants |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-16 |
| END DATE | 2024-08-15 |
| 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 | Thomas Jefferson University Hospital |
| EMPLOYER ADDRESS1 | 111 S 11th Street |
| EMPLOYER CITY | Philadlephia |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19107 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12155034023 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Roberts |
| EMPLOYER POC FIRST NAME | Jessica |
| EMPLOYER POC JOB TITLE | Director, OIA |
| EMPLOYER POC ADDRESS1 | 1020 Locust Street |
| EMPLOYER POC ADDRESS2 | M-70 |
| EMPLOYER POC CITY | Philadelphia |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19107 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12155034023 |
| EMPLOYER POC EMAIL | jxr371@jefferson.edu |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 111 S. 11th Street |
| WORKSITE ADDRESS2 | 4 West |
| LCA CASE WORKLOC1 CITY | Philadelphia |
| WORKSITE COUNTY | PHILADELPHIA |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 19107 |
| LCA CASE WAGE RATE FROM | 130000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 109034 |
| PW UNIT OF PAY | Year |
|
| PW WAGE LEVEL | III |
| 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 Business |
