| LCA CASE NUMBER | I-200-21272-614873 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-29 |
| DECISION DATE | 2021-10-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-24 |
| END DATE | 2024-10-20 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Department of Veteran Affairs |
| EMPLOYER ADDRESS1 | 3701 Loop Road East |
| EMPLOYER CITY | TUSCALOOSA |
| EMPLOYER STATE | AL |
| EMPLOYER POSTAL CODE | 35405 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12055542000 |
| EMPLOYER PHONE EXT | 3728 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | NETTLES |
| EMPLOYER POC FIRST NAME | KISHA |
| EMPLOYER POC MIDDLE NAME | D |
| EMPLOYER POC JOB TITLE | HR SPECIALIST |
| EMPLOYER POC ADDRESS1 | 3701 LOOP ROAD EAST |
| EMPLOYER POC CITY | TUSCALOOSA |
| EMPLOYER POC STATE | AL |
| EMPLOYER POC POSTAL CODE | 35405 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12055542000 |
| EMPLOYER POC PHONE EXT | 3728 |
| EMPLOYER POC EMAIL | KISHA.NETTLES@VA.GOV |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3701 LOOP ROAD |
| LCA CASE WORKLOC1 CITY | TUSCALOOSA |
| WORKSITE COUNTY | TUSCALOOSA |
| LCA CASE WORKLOC1 STATE | AL |
| WORKSITE POSTAL CODE | 35405 |
| LCA CASE WAGE RATE FROM | 104.43 |
| LCA CASE WAGE RATE TO | 131.43 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 104.43 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | True |
| WILLFUL VIOLATOR | False |
| SUPPORT H1B | True |
| STATUTORY BASIS | Both $60,000 or higher in annual wage and Masters Degree or higher in related specialty |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Nettles |
| PREPARER FIRST NAME | Kisha |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Department of Veteran Affairs |
| PREPARER EMAIL | kisha.nettles@va.gov |
