| LCA CASE NUMBER | I-200-21299-667777 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-26 |
| DECISION DATE | 2021-11-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Intensivist |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-01 |
| END DATE | 2024-10-31 |
| 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 | Northwest Pediatric Specialists, LLC |
| EMPLOYER ADDRESS1 | 2213 Cherry Street |
| EMPLOYER CITY | Toledo |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43608 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16147228485 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Rohaly |
| EMPLOYER POC FIRST NAME | Jaclyn |
| EMPLOYER POC JOB TITLE | Immigration Paralegal |
| EMPLOYER POC ADDRESS1 | 700 Children's Drive |
| EMPLOYER POC CITY | Columbus |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43205 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16147228485 |
| EMPLOYER POC EMAIL | jaclyn.rohaly@nationwidechildrens.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Cook |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | Wallace |
| AGENT ATTORNEY ADDRESS1 | 52 E. Gay Street, PO Box 1008 |
| AGENT ATTORNEY CITY | Columbus |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43216 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16144645459 |
| AGENT ATTORNEY EMAIL ADDRESS | dwcook@vorys.com |
| LAWFIRM NAME BUSINESS NAME | Vorys, Sater, Seymour and Pease LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2213 Cherry Street |
| LCA CASE WORKLOC1 CITY | Toledo |
| WORKSITE COUNTY | LUCAS |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 43608 |
| LCA CASE WAGE RATE FROM | 300000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 237661 |
| 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 |
