| LCA CASE NUMBER | I-200-21270-608197 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-27 |
| DECISION DATE | 2021-10-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pathologist |
| SOC CODE | 29-1069.07 |
| SOC TITLE | Pathologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-16 |
| END DATE | 2023-12-15 |
| 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 | Integrated Pathology, PSC |
| TRADE NAME DBA | I.P.S. |
| EMPLOYER ADDRESS1 | 181 Expressway, Lago Alto Plaza |
| EMPLOYER ADDRESS2 | Suite #3 |
| EMPLOYER CITY | Trujillo Alto |
| EMPLOYER STATE | PR |
| EMPLOYER POSTAL CODE | 00976 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17873055200 |
| NAICS CODE | 621511 |
| EMPLOYER POC LAST NAME | Carlo |
| EMPLOYER POC FIRST NAME | Victor |
| EMPLOYER POC MIDDLE NAME | P |
| EMPLOYER POC JOB TITLE | Medical Director |
| EMPLOYER POC ADDRESS1 | Lago Alto Plaza |
| EMPLOYER POC ADDRESS2 | Suite #3 |
| EMPLOYER POC CITY | Trujillo Alto |
| EMPLOYER POC STATE | PR |
| EMPLOYER POC POSTAL CODE | 00976 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17873055200 |
| EMPLOYER POC EMAIL | vcarlo@ipathpr.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Burgos Gandia |
| AGENT ATTORNEY FIRST NAME | Hans |
| AGENT ATTORNEY ADDRESS1 | PO Box 141891 |
| AGENT ATTORNEY CITY | Coral Gables |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33114 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13054421240 |
| AGENT ATTORNEY EMAIL ADDRESS | hans@liveintheus.com |
| LAWFIRM NAME BUSINESS NAME | Hans Burgos, PA |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Florida Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Hospital Espanol Auxilio Mutuo de Puerto Rico |
| WORKSITE ADDRESS1 | Avenida Ponce de Leon, Parada 37.5 |
| WORKSITE ADDRESS2 | 3rd Floor - Pathology Department |
| LCA CASE WORKLOC1 CITY | San Juan |
| WORKSITE COUNTY | SAN JUAN |
| LCA CASE WORKLOC1 STATE | PR |
| WORKSITE POSTAL CODE | 00919 |
| LCA CASE WAGE RATE FROM | 200000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 188968 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Burgos Gandia |
| PREPARER FIRST NAME | Hans |
| PREPARER BUSINESS NAME | Hans Burgos PA |
| PREPARER EMAIL | info@liveintheus.com |
