| LCA CASE NUMBER | I-200-23255-340170 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-09-12 |
| DECISION DATE | 2023-09-19 |
| 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 | 2023-10-01 |
| END DATE | 2026-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | North Penn Comprehensive Health Services |
| TRADE NAME DBA | Laurel Health Centers |
| EMPLOYER ADDRESS1 | 40 W. Wellsboro St |
| EMPLOYER CITY | Mansfield |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 16933 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15706621945 |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Nobles |
| EMPLOYER POC FIRST NAME | James |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | President & CEO |
| EMPLOYER POC ADDRESS1 | 40 W. Wellsboro St |
| EMPLOYER POC CITY | Mansfield |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 16933 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15706621945 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Illar |
| AGENT ATTORNEY FIRST NAME | Derek |
| AGENT ATTORNEY MIDDLE NAME | John |
| AGENT ATTORNEY ADDRESS1 | 600 Grant Street |
| AGENT ATTORNEY ADDRESS2 | 44th Floor |
| AGENT ATTORNEY CITY | Pittsburgh |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 15219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14125666000 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Eckert Seamans Cherin & Mellott, LLC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Pennsylvania |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 7 Water Street |
| LCA CASE WORKLOC1 CITY | Wellsboro |
| WORKSITE COUNTY | TIOGA |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 16901 |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE TO | 260000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 91666 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 | Bustin |
| PREPARER FIRST NAME | Allison |
| PREPARER BUSINESS NAME | Eckert Seamans Cherin & Mellott, LLC |
| PREPARER EMAIL | [email protected] |
