| LCA CASE NUMBER | I-200-23004-680759 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-01-04 |
| DECISION DATE | 2023-01-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-01-15 |
| END DATE | 2026-01-14 |
| 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 | Annandale OB-GYN Inc |
| EMPLOYER ADDRESS1 | 4208 Evergreen Ln |
| EMPLOYER ADDRESS2 | Suite 213 |
| EMPLOYER CITY | Annadale |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22003 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17036427522 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Khanh Le |
| EMPLOYER POC FIRST NAME | Anna |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 4208 Evergreen Ln |
| EMPLOYER POC ADDRESS2 | Suite 213 |
| EMPLOYER POC CITY | Annandale |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22003 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17032441553 |
| EMPLOYER POC EMAIL | drannale@hotmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Corigliano |
| AGENT ATTORNEY FIRST NAME | Dina |
| AGENT ATTORNEY ADDRESS1 | 1560 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 914 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12127644222 |
| AGENT ATTORNEY EMAIL ADDRESS | dcorigliano@jeffries-law.com |
| LAWFIRM NAME BUSINESS NAME | Jeffries and Corigliano LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4208 Evergreen Ln |
| WORKSITE ADDRESS2 | Suite 213 |
| LCA CASE WORKLOC1 CITY | Annadale |
| WORKSITE COUNTY | FAIRFAX |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22003 |
| LCA CASE WAGE RATE FROM | 240000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 215280 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Corigliano |
| PREPARER FIRST NAME | Dina |
| PREPARER BUSINESS NAME | Jeffries and Corigliano LLP |
| PREPARER EMAIL | dcorigliano@jeffries-law.com |
