| LCA CASE NUMBER | I-200-21300-670958 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-27 |
| DECISION DATE | 2021-11-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-11-29 |
| END DATE | 2022-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | United Medical Clinic LLC |
| EMPLOYER ADDRESS1 | 161 Becks Woods Dr. |
| EMPLOYER CITY | Bear |
| EMPLOYER STATE | DE |
| EMPLOYER POSTAL CODE | 19701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18662309978 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Andersen |
| EMPLOYER POC FIRST NAME | Susan |
| EMPLOYER POC JOB TITLE | Administrative Supervisor |
| EMPLOYER POC ADDRESS1 | 161 Becks Woods Dr |
| EMPLOYER POC CITY | Bear |
| EMPLOYER POC STATE | DE |
| EMPLOYER POC POSTAL CODE | 19701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18662309978 |
| EMPLOYER POC EMAIL | susan@umusa.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Qureshi |
| AGENT ATTORNEY FIRST NAME | Nina |
| AGENT ATTORNEY ADDRESS1 | 824 N Market St |
| AGENT ATTORNEY ADDRESS2 | Suite 1001A |
| AGENT ATTORNEY CITY | Wilmington |
| AGENT ATTORNEY STATE | DE |
| AGENT ATTORNEY POSTAL CODE | 19801 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13026608647 |
| AGENT ATTORNEY EMAIL ADDRESS | ninaq@nqimmigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | Immigration Law Office of Nina Qureshi |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Pennsylvania Supreme Court |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | United Medical Clinic LLC |
| WORKSITE ADDRESS1 | 1021 Gilpin Ave |
| WORKSITE ADDRESS2 | Suite 203 |
| LCA CASE WORKLOC1 CITY | Wilmington |
| WORKSITE COUNTY | NEW CASTLE |
| LCA CASE WORKLOC1 STATE | DE |
| WORKSITE POSTAL CODE | 19806 |
| LCA CASE WAGE RATE FROM | 131250 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 120744 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
