| LCA CASE NUMBER | I-200-19255-738744 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2019-09-12 |
| DECISION DATE | 2019-09-18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2019-12-02 |
| EMPLOYMENT END DATE | 2022-08-31 |
| LCA CASE EMPLOYER NAME | WELLSPAN MEDICAL GROUP |
| EMPLOYER BUSINESS DBA | WELLSPAN HEALTH |
| EMPLOYER ADDRESS | 3501 CONCORD ROAD |
| EMPLOYER CITY | YORK |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17402 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7178512345 |
| SECONDARY ENTITY | False |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY NAME | SILASRUIZ-STEELE |
| AGENT ATTORNEY CITY | READING |
| AGENT ATTORNEY STATE | PA |
| LCA CASE JOB TITLE | PHYSICIAN HOSPITALIST |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | True |
| PREVAILING WAGE | 208707 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | 4 |
| PW SOURCE | OES |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE TO | 250000 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | False |
| LCA CASE WORKLOC1 CITY | LEBANON |
| WORKSITE COUNTY | LEBANON |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17042 |
| WILLFUL VIOLATOR | False |
