| LCA CASE NUMBER | I-200-22236-435685 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-08-24 |
| DECISION DATE | 2022-08-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DEPUTY CHIEF MEDICAL EXAMINER |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-06 |
| END DATE | 2025-09-05 |
| 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 | WV DHHR BUREAU FOR PUBLIC HEALTH |
| TRADE NAME DBA | OFFICE OF THE CHIEF MEDICAL EXAMINER |
| EMPLOYER ADDRESS1 | 619 VIRGINIA STREET WEST |
| EMPLOYER CITY | CHARLESTON |
| EMPLOYER STATE | WV |
| EMPLOYER POSTAL CODE | 25302 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13045586920 |
| NAICS CODE | 923120 |
| EMPLOYER POC LAST NAME | IZZO |
| EMPLOYER POC FIRST NAME | MATTHEW |
| EMPLOYER POC MIDDLE NAME | D. |
| EMPLOYER POC JOB TITLE | CHIEF ADMINISTRATOR |
| EMPLOYER POC ADDRESS1 | 619 VIRGINIA STREET WEST |
| EMPLOYER POC CITY | CHARLESTON |
| EMPLOYER POC STATE | WV |
| EMPLOYER POC POSTAL CODE | 25302 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13045586920 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | LIN |
| AGENT ATTORNEY FIRST NAME | MICHAEL |
| AGENT ATTORNEY MIDDLE NAME | WAYNE |
| AGENT ATTORNEY ADDRESS1 | 4001 N 9TH STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 222 |
| AGENT ATTORNEY CITY | ARLINGTON |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 22203 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17032431474 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
|
| LAWFIRM NAME BUSINESS NAME | BRAVLIN, PC |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 619 VIRGINIA STREET WEST |
| LCA CASE WORKLOC1 CITY | CHARLESTON |
| WORKSITE COUNTY | KANAWHA |
| LCA CASE WORKLOC1 STATE | WV |
| WORKSITE POSTAL CODE | 25302 |
| LCA CASE WAGE RATE FROM | 255000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 168917 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | NILES |
| PREPARER FIRST NAME | KENDALL |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | BRAVLIN, PC |
| PREPARER EMAIL | [email protected] |
