| LCA CASE NUMBER | I-200-21217-504602 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-05 |
| DECISION DATE | 2021-08-12 |
| 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 | 2021-09-01 |
| END DATE | 2024-08-31 |
| 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 | MID-HUDSON ANESTHESIOLOGISTS,PC |
| EMPLOYER ADDRESS1 | 56 North Plank Rd |
| EMPLOYER ADDRESS2 | PMB 304, Suite 1 |
| EMPLOYER CITY | Newburgh |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 12550 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18456747235 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Shukla |
| EMPLOYER POC FIRST NAME | Kalpesh |
| EMPLOYER POC JOB TITLE | MD, President |
| EMPLOYER POC ADDRESS1 | 56 North Plank Rd |
| EMPLOYER POC ADDRESS2 | PMB 304, Suite 1 |
| EMPLOYER POC CITY | Newburgh |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 12550 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18456747235 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Irvine |
| AGENT ATTORNEY FIRST NAME | Joshua |
| AGENT ATTORNEY ADDRESS1 | 2650 Washington Blvd |
| AGENT ATTORNEY ADDRESS2 | Suite 103 |
| AGENT ATTORNEY CITY | Ogden |
| AGENT ATTORNEY STATE | UT |
| AGENT ATTORNEY POSTAL CODE | 84401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13853337966 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Irvine Legal |
| STATE OF HIGHEST COURT | UT |
| NAME OF HIGHEST STATE COURT | Utah Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 70 DuBois Street |
| LCA CASE WORKLOC1 CITY | Newburgh |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 12550 |
| LCA CASE WAGE RATE FROM | 340000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 78770 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Irvine |
| PREPARER FIRST NAME | Joshua |
| PREPARER BUSINESS NAME | Irvine Legal |
| PREPARER EMAIL | [email protected] |
