| LCA CASE NUMBER | I-200-20229-771224 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-16 |
| DECISION DATE | 2020-08-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist Physician (20-004) |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-16 |
| END DATE | 2023-08-15 |
| 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 | Poland Medical Center LTD |
| TRADE NAME DBA | Poland Medical Center |
| EMPLOYER ADDRESS1 | 6615 Clingan Rd |
| EMPLOYER CITY | Poland |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44514 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13304022025 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Moser |
| EMPLOYER POC FIRST NAME | Robert |
| EMPLOYER POC JOB TITLE | Shareholder |
| EMPLOYER POC ADDRESS1 | 1585 Fox Den Ct |
| EMPLOYER POC CITY | Canfield |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44406 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13304022025 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Nguyen |
| AGENT ATTORNEY FIRST NAME | Thu |
| AGENT ATTORNEY ADDRESS1 | 2901 W. Parker Road |
| AGENT ATTORNEY ADDRESS2 | Box 864259 |
| AGENT ATTORNEY CITY | Plano |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75023-9998 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19726855660.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Office of Thu Nguyen, PLLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Mercy Health - St. Elizabeth Youngstown Hospital |
| WORKSITE ADDRESS1 | 1044 Belmont Ave |
| LCA CASE WORKLOC1 CITY | Youngstown |
| WORKSITE COUNTY | MAHONING |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44504 |
| LCA CASE WAGE RATE FROM | 300000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 117104.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
