| LCA CASE NUMBER | I-200-23131-014179 |
| STATUS | Withdrawn |
| LCA CASE SUBMIT | 2023-05-11 |
| DECISION DATE | 2023-05-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Surgeon |
| SOC CODE | 29-1249.00 |
| SOC TITLE | Surgeons, 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 | Dubois Regional Medical Center |
| EMPLOYER ADDRESS1 | 100 Hospital Avenue |
| EMPLOYER ADDRESS2 | PO Box 447 |
| EMPLOYER CITY | DuBois |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18163712200 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Smith |
| EMPLOYER POC FIRST NAME | Michelle |
| EMPLOYER POC JOB TITLE | Vice President |
| EMPLOYER POC ADDRESS1 | 100 Hospital Avenue |
| EMPLOYER POC CITY | DuBois |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15801 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18163712200 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Baesler, Jr. |
| AGENT ATTORNEY FIRST NAME | Charles |
| AGENT ATTORNEY MIDDLE NAME | R |
| AGENT ATTORNEY ADDRESS1 | 300 West Vine Street |
| AGENT ATTORNEY ADDRESS2 | Ste. 2100 |
| AGENT ATTORNEY CITY | Lexington |
| AGENT ATTORNEY STATE | KY |
| AGENT ATTORNEY POSTAL CODE | 40507 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18592313944 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Stoll Keenon Ogden PLLC |
|
| STATE OF HIGHEST COURT | KY |
| NAME OF HIGHEST STATE COURT | Kentucky Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 761 Johnsonburg Road |
| WORKSITE ADDRESS2 | Ste 130 |
| LCA CASE WORKLOC1 CITY | St. Marys |
| WORKSITE COUNTY | ELK |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 15857 |
| LCA CASE WAGE RATE FROM | 448000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 361650 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 Employment |
| PREPARER LAST NAME | Lui |
| PREPARER FIRST NAME | Lisa |
| PREPARER MIDDLE INITIAL | W |
| PREPARER BUSINESS NAME | Stoll Keenon Ogden PLLC |
| PREPARER EMAIL | [email protected] |
