| LCA CASE NUMBER | I-200-20094-458128 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-03 |
| DECISION DATE | 2020-04-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician Assistant |
| SOC CODE | 29-1071.00 |
| SOC TITLE | Physician Assistants |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-10-01 |
| 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 | Sai Inpatient Resources LLC |
| EMPLOYER ADDRESS1 | 50 Deer Path |
| EMPLOYER CITY | Skillman |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 8558 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19085528135 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Ramsubramani |
| EMPLOYER POC FIRST NAME | Hariharan |
| EMPLOYER POC JOB TITLE | Co-Founder |
| EMPLOYER POC ADDRESS1 | 50 Deer Path |
| EMPLOYER POC CITY | Skillman |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 8558 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19085528135 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Hassonjee |
| AGENT ATTORNEY FIRST NAME | Farzana |
| AGENT ATTORNEY ADDRESS1 | 125 Commons Court |
| AGENT ATTORNEY CITY | Chadds Ford |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19317 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16103618079.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Hassonjee Law Firm |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court of PA and NJ |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Penn Medicine Princeton Health |
| WORKSITE ADDRESS1 | 1 Plainsboro Road |
| LCA CASE WORKLOC1 CITY | Plainsboro |
| WORKSITE COUNTY | MIDDLESEX |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 8536 |
| LCA CASE WAGE RATE FROM | 90064.0 |
| LCA CASE WAGE RATE TO | 100000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 90064.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Hassonjee |
| PREPARER FIRST NAME | Farzana |
| PREPARER BUSINESS NAME | Hassonjee Law Firm |
| PREPARER EMAIL | [email protected] |
