| LCA CASE NUMBER | I-200-21104-222679 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-14 |
| DECISION DATE | 2021-04-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Resident (Internal Medicine) |
| SOC CODE | 29-9099.00 |
| SOC TITLE | Healthcare Practitioners and Technical Workers, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-16 |
| END DATE | 2024-05-15 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | St. Agnes Healthcare, Inc. |
| TRADE NAME DBA | St. Agnes Hospital |
| EMPLOYER ADDRESS1 | 900 S. Caton Avenue |
| EMPLOYER CITY | Baltimore |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21229 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16672342748 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Sanchez |
| EMPLOYER POC FIRST NAME | Juan |
| EMPLOYER POC JOB TITLE | Designated Institutional Official |
| EMPLOYER POC ADDRESS 1 | 900 S. Caton Avenue |
| EMPLOYER POC CITY | Baltimore |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21229 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16672345724 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kim |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | Lee |
| AGENT ATTORNEY ADDRESS1 | 500 North Meridian Street |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46204 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13179771418 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Hall, Render, Killian, Heath & Lyman, P.C. |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 900 S. Caton Avenue |
| LCA CASE WORKLOC1 CITY | Baltimore |
| WORKSITE COUNTY | BALTIMORE CITY |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 21229 |
| LCA CASE WAGE RATE FROM | 54370 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 36608 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
