| LCA CASE NUMBER | I-200-21267-604725 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-24 |
| DECISION DATE | 2021-10-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | QA Engineer |
| SOC CODE | 15-1199.01 |
| SOC TITLE | Software Quality Assurance Engineers and Testers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-04 |
| END DATE | 2024-10-03 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Medable, Inc. |
| EMPLOYER ADDRESS1 | 525 UNIVERSITY AVE, STE A70 |
| EMPLOYER CITY | PALO ALTO |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94301-1924 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18778206259 |
| NAICS CODE | 54171 |
| EMPLOYER POC LAST NAME | Benavides |
| EMPLOYER POC FIRST NAME | Herminia |
| EMPLOYER POC JOB TITLE | Legal Contractor |
| EMPLOYER POC ADDRESS1 | 525 UNIVERSITY AVE, STE A70 |
| EMPLOYER POC CITY | PALO ALTO |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94301-1924 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12105485641 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bartelli |
| AGENT ATTORNEY FIRST NAME | Carolyn |
| AGENT ATTORNEY MIDDLE NAME | Gutierrez |
| AGENT ATTORNEY ADDRESS1 | 2801 VIA FORTUNA |
| AGENT ATTORNEY ADDRESS2 | SUITE 530 |
| AGENT ATTORNEY CITY | AUSTIN |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78746 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15127328900 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Boulette Golden & Marin L.L.P. |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Montauk Ct., Door 2920 |
| LCA CASE WORKLOC1 CITY | Falls Church |
| WORKSITE COUNTY | FAIRFAX |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 22042 |
| LCA CASE WAGE RATE FROM | 125000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 102107 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
