| LCA CASE NUMBER | I-200-23233-281781 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-08-21 |
| DECISION DATE | 2023-08-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | FAMILY MEDICINE PHYSICIAN |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-09-30 |
| END DATE | 2026-09-29 |
| 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 | PENN HIGHLANDS HEALTHCARE |
| 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 | 18143717700 |
| 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 | CASTRODALE |
| AGENT ATTORNEY FIRST NAME | ALEXANDER |
| AGENT ATTORNEY MIDDLE NAME | R |
| AGENT ATTORNEY ADDRESS1 | 625 LIBERTY AVENUE |
| AGENT ATTORNEY ADDRESS2 | 5TH FLOOR |
| 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 | PENNSYLVANIA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1100 MILLION DOLLAR HIGHWAY |
| LCA CASE WORKLOC1 CITY | ST. MARYS |
| WORKSITE COUNTY | ELK |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 15857 |
| LCA CASE WAGE RATE FROM | 270000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 230506 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | PILLION-GARDNER |
| PREPARER FIRST NAME | NOAH |
| PREPARER MIDDLE INITIAL | T |
| PREPARER BUSINESS NAME | DENTONS COHEN & GRIGSBY P.C. |
| PREPARER EMAIL | [email protected] |
