| LCA CASE NUMBER | I-200-23060-813092 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-03-01 |
| DECISION DATE | 2023-03-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Resident PGY-3 |
| SOC CODE | 29-1299.00 |
| SOC TITLE | Healthcare Diagnosing or Treating Practitioners, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-01 |
| END DATE | 2026-06-30 |
| 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 | Robert Packer Hospital |
| EMPLOYER ADDRESS1 | One Guthrie Square |
| EMPLOYER CITY | SAYRE |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 18840-1698 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15708874447 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Johnson II |
| EMPLOYER POC FIRST NAME | Dale |
| EMPLOYER POC MIDDLE NAME | H |
| EMPLOYER POC JOB TITLE | Director, Medical Education |
| EMPLOYER POC ADDRESS1 | One Guthrie Square |
| EMPLOYER POC CITY | SAYRE |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 18840-1698 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15708874447 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Castrodale |
| AGENT ATTORNEY FIRST NAME | Alexander |
| AGENT ATTORNEY MIDDLE NAME | R. |
| AGENT ATTORNEY ADDRESS1 | 625 Liberty Ave |
| AGENT ATTORNEY ADDRESS2 | Floor 5 |
| AGENT ATTORNEY CITY | PITTSBURGH |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15222 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14122974712 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Dentons Cohen & Grigsby PC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF PENNSYLVANIA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | One Guthrie Square |
| LCA CASE WORKLOC1 CITY | SAYRE |
| WORKSITE COUNTY | BRADFORD |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 18840 |
| LCA CASE WAGE RATE FROM | 67527 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 66206 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 | Sutton |
| PREPARER FIRST NAME | Mary |
| PREPARER BUSINESS NAME | Dentons Cohen and Grigsby PC |
| PREPARER EMAIL | [email protected] |
