| LCA CASE NUMBER | I-200-20076-410345 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-16 |
| DECISION DATE | 2020-03-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family and General Practitioner |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-15 |
| END DATE | 2023-09-15 |
| 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 | Centerville Clinics Inc. |
| EMPLOYER ADDRESS1 | 1070 Old National Pike Road |
| EMPLOYER CITY | Fredericktown |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15333 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17246326801 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Niccolai |
| EMPLOYER POC FIRST NAME | Barry |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 1070 Old National Pike Road |
| EMPLOYER POC CITY | Fredericktown |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15333 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17246326801 |
| EMPLOYER POC EMAIL | bniccolai@centervilleclinics.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Brendel |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | S. |
| AGENT ATTORNEY ADDRESS1 | 625 Liberty Avenue, 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 | 14122974987.0 |
| AGENT ATTORNEY EMAIL ADDRESS | john.brendel@dentons.com |
| LAWFIRM NAME BUSINESS NAME | Dentons Cohen & Grigsby P.C. |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Pennsylvania Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 37 Highland Avenue |
| LCA CASE WORKLOC1 CITY | Washington |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 15301 |
| LCA CASE WAGE RATE FROM | 220000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 192400.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Brendel |
| PREPARER FIRST NAME | John |
| PREPARER MIDDLE INITIAL | S. |
| PREPARER BUSINESS NAME | Dentons Cohen & Grigsby P.C. |
| PREPARER EMAIL | john.brendel@dentons.com |