| LCA CASE NUMBER | I-200-20204-729553 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-22 |
| DECISION DATE | 2020-07-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Acute Care Medicine) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-01 |
| END DATE | 2023-08-31 |
| 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 | LOUIS STOKES CLEVELAND VA MEDICAL CENTER |
| EMPLOYER ADDRESS1 | 10701 EAST BLVD |
| EMPLOYER CITY | Cleveland |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44106 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12167913800 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | MCPEAK |
| EMPLOYER POC FIRST NAME | Robert |
| EMPLOYER POC JOB TITLE | HEALTH SYSTEM SPECIALIST |
| EMPLOYER POC ADDRESS1 | 10701 EAST BLVD |
| EMPLOYER POC CITY | Cleveland |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44106 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12167913800 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | DSOUZA |
| AGENT ATTORNEY FIRST NAME | GERARD |
| AGENT ATTORNEY ADDRESS1 | 37267 Chester Road |
| AGENT ATTORNEY CITY | Avon |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44011 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12162272889.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Gerard D'Souza, Esq |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | LOUIS STOKES CLEVELAND VA MED CTR |
| WORKSITE ADDRESS2 | 10701 East Blvd |
| LCA CASE WORKLOC1 CITY | Cleveland |
| WORKSITE COUNTY | CUYAHOGA |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44106 |
| LCA CASE WAGE RATE FROM | 220000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 200762.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
