| LCA CASE NUMBER | I-200-23166-115062 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-06-15 |
| DECISION DATE | 2023-06-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician Assistant |
| SOC CODE | 29-1071.00 |
| SOC TITLE | Physician Assistants |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-13 |
| END DATE | 2026-04-06 |
| 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 | Samaritan Medical Center |
| EMPLOYER ADDRESS1 | 830 Washington St. |
| EMPLOYER CITY | Watertown |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13601 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13157864997 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Rowe |
| EMPLOYER POC FIRST NAME | Christopher |
| EMPLOYER POC JOB TITLE | Executive Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 830 Washington Street |
| EMPLOYER POC CITY | Watertown |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13601 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13157864997 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bruno |
| AGENT ATTORNEY FIRST NAME | Sandra |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 6435 |
| AGENT ATTORNEY CITY | Ithaca |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14851 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16072734200 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Miller Mayer, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NY Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1014 Oswegatchie Trail Rd. |
| LCA CASE WORKLOC1 CITY | Star Lake |
| WORKSITE COUNTY | ST LAWRENCE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13690 |
| LCA CASE WAGE RATE FROM | 80 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 73.3 |
| PW UNIT OF PAY | Hour |
| 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 Business |
