\ H1B CASE NUMBER I-200-24275-377216



CASE NUNBER: I-200-24275-377216

LCA CASE NUMBERI-200-24275-377216
STATUSCertified
LCA CASE SUBMIT2024-10-01
DECISION DATE2024-10-08
VISA CLASSH-1B
LCA CASE JOB TITLEMedical Technologist
SOC CODE29-2011
SOC TITLEMedical and Clinical Laboratory Technologists
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2024-11-15
END DATE2027-11-15
TOTAL WORKER POSITIONS2
NEW EMPLOYMENT2
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEINOVA HEALTH CARE SERVICES
TRADE NAME DBAINOVA MT VERNON HOSPITAL
EMPLOYER ADDRESS18110 Gatehouse Road
EMPLOYER CITYFalls Church
EMPLOYER STATEVA
EMPLOYER POSTAL CODE22042
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE18556946682
EMPLOYER FEIN54-0620889
NAICS CODE622110
EMPLOYER POC LAST NAMEDudzik
EMPLOYER POC FIRST NAMEJosh
EMPLOYER POC JOB TITLEDirector of Talent Acquisition
EMPLOYER POC ADDRESS18110 Gatehouse Road
EMPLOYER POC CITYFalls Church
EMPLOYER POC STATEVA
EMPLOYER POC POSTAL CODE22042
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE15715620804
EMPLOYER POC EMAILJosh.Dudzik@inova.org
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEJohnson-Lewis
AGENT ATTORNEY FIRST NAMEAnn-Rose
AGENT ATTORNEY MIDDLE NAMEMarie
AGENT ATTORNEY ADDRESS19101 Kings Parade Blvd, Suite 201
AGENT ATTORNEY CITYCharlotte
AGENT ATTORNEY STATENC
AGENT ATTORNEY POSTAL CODE28273
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE17049739472
AGENT ATTORNEY EMAIL ADDRESSajohnsonlewis@healthstaff.org
LAWFIRM NAME BUSINESS NAMEWorldWide HealthStaff Solutions, Ltd.
STATE OF HIGHEST COURTNC
NAME OF HIGHEST STATE COURTNorth Carolina
WORKSITE WORKERS2
SECONDARY ENTITYFalse
WORKSITE ADDRESS12501 Parkers Lane
LCA CASE WORKLOC1 CITYAlexandria
WORKSITE COUNTYFAIRFAX
LCA CASE WORKLOC1 STATEVA
WORKSITE POSTAL CODE22306
LCA CASE WAGE RATE FROM33.29
LCA CASE WAGE RATE UNITHour
PREVAILING WAGE26.99
PW UNIT OF PAYHour
PW WAGE LEVELII
PW OES YEAR7/1/2024 - 6/30/2025
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Employment
PREPARER LAST NAMEObiagwu
PREPARER FIRST NAMENnaemeka
PREPARER BUSINESS NAMEWorldWide HealthStaff Solutions, Ltd.
PREPARER EMAILlegal@healthstaff.org