| LCA CASE NUMBER | I-200-21055-099660 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-24 |
| DECISION DATE | 2021-03-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Recovery Surgeon |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-24 |
| END DATE | 2024-08-23 |
| 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 | Lifecenter Northwest |
| EMPLOYER ADDRESS1 | 3650 131st Ave SE |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Bellevue |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98006 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14252016563 |
| NAICS CODE | 621991 |
| EMPLOYER POC LAST NAME | Rawlings |
| EMPLOYER POC FIRST NAME | Anna |
| EMPLOYER POC JOB TITLE | General Counsel |
| EMPLOYER POC ADDRESS 1 | 3650 131st Avenue SE |
| EMPLOYER POC ADDRESS 2 | Suite 200 |
| EMPLOYER POC CITY | Bellevue |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98006 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14252016563 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Salter |
| AGENT ATTORNEY FIRST NAME | Michelle |
| AGENT ATTORNEY MIDDLE NAME | Luzentales |
| AGENT ATTORNEY ADDRESS1 | 920 Fifth Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 3300 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12067578342 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Davis Wright Tremaine LLP |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Washington Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3650 131st Avenue SE |
| WORKSITE ADDRESS2 | Suite 200 |
| LCA CASE WORKLOC1 CITY | Bellevue |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98006 |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE TO | 350000 |
| 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 | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
