| LCA CASE NUMBER | I-200-21068-132572 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-09 |
| DECISION DATE | 2021-03-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-05 |
| END DATE | 2024-09-04 |
| 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 | MARK K. LI MD |
| EMPLOYER ADDRESS1 | 1721 UNIVERSITY BOULEVARD WEST |
| EMPLOYER CITY | WHEATON |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 20902 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13013657997 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Li |
| EMPLOYER POC FIRST NAME | Mark |
| EMPLOYER POC MIDDLE NAME | K. |
| EMPLOYER POC JOB TITLE | Director |
| EMPLOYER POC ADDRESS 1 | 1721 UNIVERSITY BOULEVARD WEST |
| EMPLOYER POC CITY | Wheaton |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 20902 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13013657997 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Lu |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | W |
| AGENT ATTORNEY ADDRESS1 | 12205 Piney Meetinghouse Road |
| AGENT ATTORNEY CITY | Potomac |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 20854 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13013152670 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Michael W. Lu |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | District of Columbia Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1721 University Blvd West |
| LCA CASE WORKLOC1 CITY | Wheaton |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 20902 |
| LCA CASE WAGE RATE FROM | 49 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 49 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 |
| PREPARER LAST NAME | Lu |
| PREPARER FIRST NAME | Michael |
| PREPARER MIDDLE INITIAL | W |
| PREPARER BUSINESS NAME | Law Offices of Michael W. Lu |
| PREPARER EMAIL | [email protected] |
