| LCA CASE NUMBER | I-203-23135-022558 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2023-05-15 |
| DECISION DATE | 2023-05-23 |
| ORIGINAL CERT DATE | 2023-05-22 |
| VISA CLASS | E-3 Australian |
| LCA CASE JOB TITLE | Nurse Supervisor |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-06-12 |
| END DATE | 2025-06-11 |
| 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 | Universal Medical Record Services Corp |
| EMPLOYER ADDRESS1 | 22 The Cross Road |
| EMPLOYER CITY | Cortland Manor |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 10567 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19147377499 |
| NAICS CODE | 541611 |
| EMPLOYER POC LAST NAME | Cohn |
| EMPLOYER POC FIRST NAME | Steven |
| EMPLOYER POC MIDDLE NAME | Charles |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 22 The Cross Road |
| EMPLOYER POC CITY | Cortland Manor |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 10567 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19147377499 |
| EMPLOYER POC EMAIL | scohnmd@universalmedicalrecord.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Reyes |
| AGENT ATTORNEY FIRST NAME | Jesus Martin |
| AGENT ATTORNEY MIDDLE NAME | Lomboy |
| AGENT ATTORNEY ADDRESS1 | 71 West 23rd Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1619 |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12125242740 |
| AGENT ATTORNEY EMAIL ADDRESS | jmreyeslaw@outlook.com |
| LAWFIRM NAME BUSINESS NAME | Law Firm of Jesus Martin L. Reyes, PC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Haven Manor Health Care Center |
| WORKSITE ADDRESS1 | 1441 Gateway Boulevard |
| LCA CASE WORKLOC1 CITY | Far Rockaway |
| WORKSITE COUNTY | QUEENS |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 11691 |
| LCA CASE WAGE RATE FROM | 99195 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 99195 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | NOT APPLICABLE |
