| LCA CASE NUMBER | I-200-20282-871194 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-07 |
| DECISION DATE | 2020-10-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Radiology Informatics Program Manager |
| SOC CODE | 15-1199.09 |
| SOC TITLE | Information Technology Project Managers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-10-09 |
| END DATE | 2023-10-08 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Lucile Salter Packard Children's Hospital at Stanford |
| TRADE NAME DBA | Stanford Children's Health |
| EMPLOYER ADDRESS1 | 725 Welch Road |
| EMPLOYER CITY | Palo Alto |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94304 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16504978000 |
| EMPLOYER PHONE EXT | 0 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Najieb |
| EMPLOYER POC FIRST NAME | La Donna |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | Interim Talent Acquisition Director |
| EMPLOYER POC ADDRESS 1 | 4300 Bohannon Drive |
| EMPLOYER POC ADDRESS 2 | Suite 250 |
| EMPLOYER POC CITY | Menlo Park |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94025 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18188131347 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Rivolta |
| AGENT ATTORNEY FIRST NAME | Nicolo |
| AGENT ATTORNEY ADDRESS1 | 220 Montgomery Street |
| AGENT ATTORNEY ADDRESS2 | Suite 810 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14159012270 |
| AGENT ATTORNEY PHONE EXT | 0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Gibney, Anthony & Flaherty LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 725 Welch Road |
| WORKSITE ADDRESS2 | Suite 120 |
| LCA CASE WORKLOC1 CITY | Palo Alto |
| WORKSITE COUNTY | SANTA CLARA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94304 |
| LCA CASE WAGE RATE FROM | 134888 |
| LCA CASE WAGE RATE TO | 184121 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 126714 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Green (#42A, 14486-00009-005) |
| PREPARER FIRST NAME | Dale |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Gibney, Anthony & Flaherty LLP |
| PREPARER EMAIL | [email protected] |
