| LCA CASE NUMBER | I-200-23129-004731 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-05-09 |
| DECISION DATE | 2023-05-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Hospitalist |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-04 |
| END DATE | 2026-10-03 |
| 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 | Warren General Hospital |
| EMPLOYER ADDRESS1 | 2 Crescent Park West |
| EMPLOYER CITY | Warren |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 16365 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18147234973 |
| EMPLOYER PHONE EXT | 1700 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Allen |
| EMPLOYER POC FIRST NAME | Richard |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 2 Crescent Park West |
| EMPLOYER POC CITY | Warren |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 16365 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18147234973 |
| EMPLOYER POC PHONE EXT | 1700 |
| 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, P.C. |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Pennsylvania |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2 Crescent Park West |
| LCA CASE WORKLOC1 CITY | Warren |
| WORKSITE COUNTY | WARREN |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 16365 |
| LCA CASE WAGE RATE FROM | 230000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208250 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 | Castrodale |
| PREPARER FIRST NAME | Alexander |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Dentons Cohen & Grigsby P.C. |
| PREPARER EMAIL | [email protected] |
