| LCA CASE NUMBER | I-200-21250-568399 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-07 |
| DECISION DATE | 2021-09-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | UPMC Western Maryland Corporation |
| EMPLOYER ADDRESS1 | U.S. Steel Tower, 57th Floor |
| EMPLOYER ADDRESS2 | 600 Grant Street |
| EMPLOYER CITY | Pittsburgh |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15219 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14126478243 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Stevenson |
| EMPLOYER POC FIRST NAME | Lisa |
| EMPLOYER POC MIDDLE NAME | Claypool |
| EMPLOYER POC JOB TITLE | Senior Associate Counsel |
| EMPLOYER POC ADDRESS1 | U.S. Steel Tower, 57th Floor |
| EMPLOYER POC ADDRESS2 | 600 Grant Street |
| EMPLOYER POC CITY | Pittsburgh |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15219 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14126478243 |
| EMPLOYER POC EMAIL | sherrangema@upmc.edu |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 12500 Willowbrook Road |
| LCA CASE WORKLOC1 CITY | Cumberland |
| WORKSITE COUNTY | ALLEGANY |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 21502 |
| LCA CASE WAGE RATE FROM | 110.1 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 109.08 |
|
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Sherrange |
| PREPARER FIRST NAME | Melissa |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | UPMC Corporate |
| PREPARER EMAIL | sherrangema@upmc.edu |
