| LCA CASE NUMBER | I-200-21271-611103 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-28 |
| DECISION DATE | 2021-10-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care – Internal Medicine |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-01 |
| END DATE | 2024-12-31 |
| 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 | EXCELA HEALTH PHYSICIAN PRACTICES, INC. |
| EMPLOYER ADDRESS1 | 532 WEST PITTSBURGH STREET |
| EMPLOYER CITY | GREENSBURG |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15601 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17248324000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Ficco |
| EMPLOYER POC FIRST NAME | Dane |
| EMPLOYER POC JOB TITLE | VP/ COO |
| EMPLOYER POC ADDRESS1 | 532 WEST PITTSBURGH STREET |
| EMPLOYER POC CITY | GREENSBURG |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15601 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17246891819 |
| EMPLOYER POC EMAIL | KDOBROSKY@EXCELAHEALTH.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Castrodale |
| AGENT ATTORNEY FIRST NAME | Alexander |
| AGENT ATTORNEY MIDDLE NAME | R |
| AGENT ATTORNEY ADDRESS1 | 625 Liberty Ave |
| AGENT ATTORNEY CITY | Pittsburgh |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14122974712 |
| AGENT ATTORNEY EMAIL ADDRESS | alex.castrodale@dentons.com |
| LAWFIRM NAME BUSINESS NAME | Dentons Cohen & Grigsby P.C. |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Pennsylvania |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 503 South Church St. |
| WORKSITE ADDRESS2 | Suite 301 |
| LCA CASE WORKLOC1 CITY | Mt. Pleasant |
| WORKSITE COUNTY | WESTMORELAND |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 15666 |
| LCA CASE WAGE RATE FROM | 402165.86 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 163613 |
| 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 | Castrodale |
| PREPARER FIRST NAME | Alexander |
| PREPARER BUSINESS NAME | Dentons Cohen & Grigsby PC |
| PREPARER EMAIL | adam.teets@dentons.com |
