| LCA CASE NUMBER | I-200-21049-085571 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-18 |
| DECISION DATE | 2021-02-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician Assistant |
| SOC CODE | 29-1071.00 |
| SOC TITLE | Physician Assistants |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-03-01 |
| END DATE | 2024-02-28 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | St. Joseph's Medical, P.C. |
| EMPLOYER ADDRESS1 | 301 Prospect Avenue |
| EMPLOYER CITY | Syracuse |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13203 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13154485880 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | HIMES |
| EMPLOYER POC FIRST NAME | Julianne |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS 1 | 301 Prospect Avenue |
| EMPLOYER POC CITY | Syracuse |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13203 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13154485880 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Pacis |
| AGENT ATTORNEY FIRST NAME | Reginald |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | Butzel Long, a professional corporation |
| AGENT ATTORNEY ADDRESS2 | 150 W. Jefferson Avenue, Suite 100 |
| AGENT ATTORNEY CITY | Detroit |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48226 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13139836929 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Butzel Long, a professional corporation |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | MICHIGAN SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 301 Prospect Ave. |
| LCA CASE WORKLOC1 CITY | Syracuse |
| WORKSITE COUNTY | ONONDAGA |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13203 |
| LCA CASE WAGE RATE FROM | 62.26 |
| LCA CASE WAGE RATE TO | 75 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 62.26 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
