| LCA CASE NUMBER | I-200-20122-533645 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-30 |
| DECISION DATE | 2020-05-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | STAFF PHYSICIAN-DIAGNOSTIC/INTERVENTIONAL RADIOLOGIST |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-30 |
| END DATE | 2023-10-29 |
| 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 | GUAM MEMORIAL HOSPITAL AUTHORITY |
| EMPLOYER ADDRESS1 | 850 Gov. Carlos Camacho Road |
| EMPLOYER CITY | TAMUNING |
| EMPLOYER STATE | GU |
| EMPLOYER POSTAL CODE | 96913 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16716482206 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | PEREZ-POSADAS |
| EMPLOYER POC FIRST NAME | LILLIAN |
| EMPLOYER POC MIDDLE NAME | QUICHOCHO |
| EMPLOYER POC JOB TITLE | Hospital Administrator/CEO |
| EMPLOYER POC ADDRESS1 | 850 Gov. Carlos Camacho Road |
| EMPLOYER POC CITY | Tamuning |
| EMPLOYER POC STATE | GU |
| EMPLOYER POC POSTAL CODE | 96913 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16716482206 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | SWAVELY |
| AGENT ATTORNEY FIRST NAME | MELINDA |
| AGENT ATTORNEY MIDDLE NAME | SUE |
| AGENT ATTORNEY ADDRESS1 | 865 SOUTH MARINE CORPS DRIVE, SUITE 201 |
| AGENT ATTORNEY CITY | TAMUNING |
| AGENT ATTORNEY STATE | GU |
| AGENT ATTORNEY POSTAL CODE | 96913 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16716461222.0 |
| AGENT ATTORNEY PHONE EXT | 111.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | ROBERTS FOWLER & VISOSKY LLP |
| STATE OF HIGHEST COURT | GU |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 850 GOV. CARLOS CAMACHO ROAD |
| LCA CASE WORKLOC1 CITY | TAMUNING |
| WORKSITE COUNTY | UNKOWN NAME |
| LCA CASE WORKLOC1 STATE | GU |
| WORKSITE POSTAL CODE | 96913 |
| LCA CASE WAGE RATE FROM | 480000.0 |
| LCA CASE WAGE RATE TO | 480000.01 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 264555.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 Employment |
| PREPARER LAST NAME | SWAVELY |
| PREPARER FIRST NAME | MELINDA |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | ROBERTS FOWLER & VISOSKY LLP |
| PREPARER EMAIL | [email protected] |
