| LCA CASE NUMBER | I-200-21025-030664 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-25 |
| DECISION DATE | 2021-02-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-25 |
| END DATE | 2024-07-24 |
| 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 | Summit Physician Services |
| TRADE NAME DBA | WellSpan Summit Physician Services |
| EMPLOYER ADDRESS1 | 785 5th Ave. |
| EMPLOYER ADDRESS2 | Suite 3 |
| EMPLOYER CITY | Chambersburg |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 17201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17172176954 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Hopper |
| EMPLOYER POC FIRST NAME | Edward |
| EMPLOYER POC JOB TITLE | Provider Contract Manager |
| EMPLOYER POC ADDRESS 1 | 785 5th Ave. |
| EMPLOYER POC ADDRESS 2 | Suite 3 |
| EMPLOYER POC CITY | Chambersburg |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17172176954 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Mehta |
| AGENT ATTORNEY FIRST NAME | Khorzad |
| AGENT ATTORNEY MIDDLE NAME | Adi |
| AGENT ATTORNEY ADDRESS1 | 10451 Mill Run Circle |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Owings Mills |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 21117 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14103565440 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Murthy Law Firm |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | District of Columbia Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 112 N. 7th Street |
| LCA CASE WORKLOC1 CITY | Chambersburg |
| WORKSITE COUNTY | FRANKLIN |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 17201 |
| LCA CASE WAGE RATE FROM | 375000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Gordon |
| PREPARER FIRST NAME | Jennifer |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Murthy Law Firm |
| PREPARER EMAIL | [email protected] |
