| LCA CASE NUMBER | I-200-21309-690408 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-05 |
| DECISION DATE | 2021-11-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-24 |
| END DATE | 2025-01-23 |
| 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 | Pediatric Physicians of Reston, PC |
| TRADE NAME DBA | DBA Reston Town Center Pediatrics |
| EMPLOYER ADDRESS1 | 1830 Town Center Drive |
| EMPLOYER ADDRESS2 | Suite 205 |
| EMPLOYER CITY | Reston |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 20190 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17034350325 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Powers |
| EMPLOYER POC FIRST NAME | Suzanne |
| EMPLOYER POC MIDDLE NAME | M. |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 1830 Town Center Drive |
| EMPLOYER POC ADDRESS2 | Suite 205 |
| EMPLOYER POC CITY | Reston |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 20190 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17034350325 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wilks |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 140 Pearl Street |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Buffalo |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15856133942 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Hodgson Russ LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1830 Town Center Drive |
| WORKSITE ADDRESS2 | Suite 205 |
| LCA CASE WORKLOC1 CITY | Reston |
| WORKSITE COUNTY | FAIRFAX |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 20190 |
| LCA CASE WAGE RATE FROM | 190000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 138882 |
| 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 |
| PREPARER LAST NAME | Carrig |
| PREPARER FIRST NAME | Meghan |
| PREPARER BUSINESS NAME | Hodgson Russ LLP |
| PREPARER EMAIL | [email protected] |
