| LCA CASE NUMBER | I-200-20079-420849 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-19 |
| DECISION DATE | 2020-03-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-06-01 |
| END DATE | 2023-05-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Carilion Medical Center |
| TRADE NAME DBA | Carilion Clinic |
| EMPLOYER ADDRESS1 | 1906 Belleview Avenue, S.E. |
| EMPLOYER CITY | Roanoke |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 24014-1838 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18005992537 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Lovelace |
| EMPLOYER POC FIRST NAME | Debra |
| EMPLOYER POC MIDDLE NAME | L |
| EMPLOYER POC JOB TITLE | Senior Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 1212 Third St. SW |
| EMPLOYER POC CITY | Roanoke |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 24016 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15409834121 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Konrad |
| AGENT ATTORNEY FIRST NAME | Helen |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | 1111 E. Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2100 |
| AGENT ATTORNEY CITY | Richmond |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 23219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18047753825.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | McCandlish Holton, PC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | Carilion Clinic Family Medicine Brambleton |
| WORKSITE ADDRESS2 | 3707 Brambleton Ave., Suite 2 |
| LCA CASE WORKLOC1 CITY | Roanoke |
| WORKSITE COUNTY | ROANOKE |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 24018 |
| LCA CASE WAGE RATE FROM | 42.96 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 38.08 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 10.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Barger |
| PREPARER FIRST NAME | Meghan |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | McCandlish Holton, PC |
| PREPARER EMAIL | [email protected] |
