| LCA CASE NUMBER | I-200-20113-508734 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-22 |
| DECISION DATE | 2020-04-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Radiologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-23 |
| END DATE | 2023-09-22 |
| 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 | Champlain Imaging, PLLC |
| EMPLOYER ADDRESS1 | 133 Fairfield Street |
| EMPLOYER CITY | St. Albans |
| EMPLOYER STATE | VT |
| EMPLOYER POSTAL CODE | 5476 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18025241058 |
| NAICS CODE | 621512 |
| EMPLOYER POC LAST NAME | Lopatina |
| EMPLOYER POC FIRST NAME | Olga |
| EMPLOYER POC JOB TITLE | Medical Director |
| EMPLOYER POC ADDRESS1 | 133 Fairfield Street |
| EMPLOYER POC CITY | St. Albans |
| EMPLOYER POC STATE | VT |
| EMPLOYER POC POSTAL CODE | 5478 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18025241209 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Castrodale |
| AGENT ATTORNEY FIRST NAME | Alexander |
| AGENT ATTORNEY MIDDLE NAME | R. |
| AGENT ATTORNEY ADDRESS1 | 625 LIBERTY AVE |
| AGENT ATTORNEY CITY | PITTSBURGH |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14122974712.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Dentons Cohen and Grigsby PC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | PA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 133 Fairfield Street |
| LCA CASE WORKLOC1 CITY | St. Albans |
| WORKSITE COUNTY | FRANKLIN |
| LCA CASE WORKLOC1 STATE | VT |
| WORKSITE POSTAL CODE | 5478 |
| LCA CASE WAGE RATE FROM | 300000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| 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 | Castrodale |
| PREPARER FIRST NAME | Alexander |
| PREPARER MIDDLE INITIAL | R. |
| PREPARER BUSINESS NAME | Dentons Cohen and Grigsby PC |
| PREPARER EMAIL | [email protected] |
