| LCA CASE NUMBER | I-200-24207-221003 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-07-25 |
| DECISION DATE | 2024-08-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1229.02 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-09-15 |
| END DATE | 2027-09-14 |
| 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 | Prime Healthcare Services – St. Michael’s, LLC |
| TRADE NAME DBA | Saint Michael’s Medical Center |
| EMPLOYER ADDRESS1 | 111 Central Avenue |
| EMPLOYER CITY | Newark |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 07109 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19096380407 |
| EMPLOYER FEIN | 46-3487442 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Guevara |
| EMPLOYER POC FIRST NAME | Romulo |
| EMPLOYER POC MIDDLE NAME | E |
| EMPLOYER POC JOB TITLE | Assistant General Counsel - Immigration |
| EMPLOYER POC ADDRESS1 | 3480 E. Guasti Road |
| EMPLOYER POC CITY | Ontario |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91761 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19096380407 |
| EMPLOYER POC EMAIL | rguevara3@primehealthcare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Cohen |
| AGENT ATTORNEY FIRST NAME | Adam |
| AGENT ATTORNEY MIDDLE NAME | Scott |
| AGENT ATTORNEY ADDRESS1 | 1028 Oakhaven Rd |
| AGENT ATTORNEY CITY | Memphis |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 38119 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19016826455 |
| AGENT ATTORNEY EMAIL ADDRESS | acohen@visalaw.com |
| LAWFIRM NAME BUSINESS NAME | Siskind Susser PC |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 111 Central Ave |
| LCA CASE WORKLOC1 CITY | Newark |
| WORKSITE COUNTY | ESSEX |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 07102 |
| LCA CASE WAGE RATE FROM | 240000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 148034 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Schaffler |
| PREPARER FIRST NAME | Macrae |
| PREPARER BUSINESS NAME | Siskind Susser PC |
| PREPARER EMAIL | mschaffler@visalaw.com |