| LCA CASE NUMBER | I-200-20126-544913 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-05 |
| DECISION DATE | 2020-05-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | CRITICAL CARE PHYSICIAN |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| 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 | WASHINGTON PHYSICIANS SERVICES ORGANIZATION |
| TRADE NAME DBA | WASHINGTON PHYSICIANS GROUP |
| EMPLOYER ADDRESS1 | 155 WILSON AVENUE |
| EMPLOYER CITY | WASHINGTON |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15301 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17242333394 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | TESTA |
| EMPLOYER POC FIRST NAME | STACEY |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 155 Wilson Avenue |
| EMPLOYER POC CITY | WASHINGTON |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15301 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17242233394 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | GOLDSTEIN |
| AGENT ATTORNEY FIRST NAME | MARK |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 1125 PENN AVENUE |
| AGENT ATTORNEY ADDRESS2 | 3RD FLOOR |
| AGENT ATTORNEY CITY | PITTSBURGH |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14122588080.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | GOLDSTEIN AND ASSOCIATES, LLC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 95 LEONARD AVENUE |
| WORKSITE ADDRESS2 | BLDG 2 SUITE 400 |
| LCA CASE WORKLOC1 CITY | WASHINGTON |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 15301 |
| LCA CASE WAGE RATE FROM | 379995.2 |
| LCA CASE WAGE RATE TO | 379995.21 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 179962.0 |
| 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 Business and Employment |
| PREPARER LAST NAME | Goldstein |
| PREPARER FIRST NAME | Mark |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Goldstein and Associates, LLC |
| PREPARER EMAIL | [email protected] |
