| LCA CASE NUMBER | I-200-20239-788827 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-26 |
| DECISION DATE | 2020-09-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | CENTER ADMINISTRATOR |
| SOC CODE | 11-9111.00 |
| SOC TITLE | Medical and Health Services Managers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2021-01-12 |
| END DATE | 2024-01-11 |
| 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 | WOODBURN ENDOSCOPY CENTER, PLLC |
| EMPLOYER ADDRESS1 | 3301 WOODBURN ROAD |
| EMPLOYER ADDRESS2 | SUITE# 109 |
| EMPLOYER CITY | ANNANDALE |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 22003 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17037522557 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | GUPTA |
| EMPLOYER POC FIRST NAME | PRADEEP |
| EMPLOYER POC MIDDLE NAME | K. |
| EMPLOYER POC JOB TITLE | MEDICAL DIRECTOR/MANAGING PARTNER |
| EMPLOYER POC ADDRESS1 | 3301 WOODBURN ROAD |
| EMPLOYER POC ADDRESS2 | SUITE# 109 |
| EMPLOYER POC CITY | ANNANDALE |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 22003 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17037522557 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | KHANNA |
| AGENT ATTORNEY FIRST NAME | RAJIV |
| AGENT ATTORNEY MIDDLE NAME | S. |
| AGENT ATTORNEY ADDRESS1 | 5225 WILSON BLVD. |
| AGENT ATTORNEY CITY | ARLINGTON |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 22205 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12029091110.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF RAJIV S. KHANNA, PC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF VIRGINIA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 3301 WOODBURN ROAD |
| WORKSITE ADDRESS2 | SUITE# 109 |
| LCA CASE WORKLOC1 CITY | ANNANDALE |
| WORKSITE COUNTY | FAIRFAX |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22003 |
| LCA CASE WAGE RATE FROM | 131706.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 131706.0 |
| 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 |
| PREPARER LAST NAME | TANDON |
| PREPARER FIRST NAME | MANIK |
| PREPARER BUSINESS NAME | LAW OFFICES OF RAJIV S. KHANNA, PC |
| PREPARER EMAIL | [email protected] |
