| LCA CASE NUMBER | I-200-20164-650504 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-06-12 |
| DECISION DATE | 2020-07-24 |
| ORIGINAL CERT DATE | 2020-06-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Instructor |
| SOC CODE | 29-1069.12 |
| SOC TITLE | Urologists |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2020-08-03 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | University of Virginia Health Services Foundation |
| TRADE NAME DBA | University of Virginia Physicians Group |
| EMPLOYER ADDRESS1 | 4105 Lewis and Clark Drive |
| EMPLOYER CITY | Charlottesville |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22911 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14342951000 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Casella |
| EMPLOYER POC FIRST NAME | Judy |
| EMPLOYER POC MIDDLE NAME | J |
| EMPLOYER POC JOB TITLE | Manager, Delegated Credentialing |
| EMPLOYER POC ADDRESS1 | 4105 Lewis and Clark Drive |
| EMPLOYER POC CITY | Charlottesville |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22911 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14349806140 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | N |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 500 Ray C Hunt Drive |
| LCA CASE WORKLOC1 CITY | Charlottesville |
| WORKSITE COUNTY | ALBEMARLE |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22904 |
| LCA CASE WAGE RATE FROM | 33.41 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 27.08 |
| PW UNIT OF PAY | Hour |
| 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 | White |
| PREPARER FIRST NAME | Timothy |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | University of Virginia |
| PREPARER EMAIL | [email protected] |
