| LCA CASE NUMBER | I-200-22189-338790 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-07-07 |
| DECISION DATE | 2022-07-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-07-18 |
| END DATE | 2025-07-17 |
| 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 | Centerville Clinics, Inc. |
| EMPLOYER ADDRESS1 | 1070 Old National Pike |
| EMPLOYER CITY | Fredericktown |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15333 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17246326801 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Niccolai |
| EMPLOYER POC FIRST NAME | Barry |
| EMPLOYER POC MIDDLE NAME | R. |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS1 | 1070 Old National Pike |
| EMPLOYER POC CITY | Fredericktown |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15333 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17246325801 |
| EMPLOYER POC PHONE EXT | 1100 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wadhwani |
| AGENT ATTORNEY FIRST NAME | Catherine |
| AGENT ATTORNEY MIDDLE NAME | V. |
| AGENT ATTORNEY ADDRESS1 | BNY Mellon Center, 500 Grant Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Pittsburgh |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14123945540 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fox Rothschild LLP |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Pennsylvania Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1070 Old National Pike |
| LCA CASE WORKLOC1 CITY | Fredericktown |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 15333 |
| LCA CASE WAGE RATE FROM | 210000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 107078 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kanarat |
| PREPARER FIRST NAME | Sutunya |
| PREPARER BUSINESS NAME | Fox Rothschild LLP |
| PREPARER EMAIL | [email protected] |
