| LCA CASE NUMBER | I-200-22123-128275 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-02 |
| DECISION DATE | 2022-05-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Critical Care Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-11-01 |
| END DATE | 2025-10-31 |
| 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 | CARILION MEDICAL CENTER |
| EMPLOYER ADDRESS1 | 1906 Belleview Avenue, S.E. |
| EMPLOYER CITY | Roanoke |
| EMPLOYER STATE | VA |
| EMPLOYER POSTAL CODE | 24014-1838 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15409817000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | OLLIE |
| EMPLOYER POC FIRST NAME | Anissa |
| EMPLOYER POC JOB TITLE | Senior Human Resources Consultant |
| EMPLOYER POC ADDRESS1 | 1212 3rd Street Southwest |
| EMPLOYER POC CITY | Roanoke |
| EMPLOYER POC STATE | VA |
| EMPLOYER POC POSTAL CODE | 24016 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15409834095 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | DSOUZA |
| AGENT ATTORNEY FIRST NAME | Gerard |
| AGENT ATTORNEY ADDRESS1 | 37267 Chester Road |
| AGENT ATTORNEY CITY | Avon |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44011 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12162272889 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Gerard D'Souza, Esq |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1906 Belleview Avenue, S.E. |
| LCA CASE WORKLOC1 CITY | Roanoke |
| WORKSITE COUNTY | ROANOKE |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 24014 |
| LCA CASE WAGE RATE FROM | 270000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
