| LCA CASE NUMBER | I-200-24029-673921 |
| STATUS | Withdrawn |
| LCA CASE SUBMIT | 2024-01-29 |
| DECISION DATE | 2024-01-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical and Clinical Laboratory Scientist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-02-12 |
| END DATE | 2027-02-11 |
| 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 | Sibley Memorial Hospital |
| EMPLOYER ADDRESS1 | 5255 Loughboro Rd |
| EMPLOYER CITY | Washington |
| EMPLOYER STATE | DC |
| EMPLOYER POSTAL CODE | 20016 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14109378065 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Pellicio |
| EMPLOYER POC FIRST NAME | Jannell |
| EMPLOYER POC JOB TITLE | Sr. Immigration/Operation Specialist |
| EMPLOYER POC ADDRESS1 | 4940 Eastern Ave |
| EMPLOYER POC CITY | Baltimore |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21224 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14439971966 |
| EMPLOYER POC EMAIL | jpellic4@jhmi.edu |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Boult |
| AGENT ATTORNEY FIRST NAME | Gregory |
| AGENT ATTORNEY ADDRESS1 | 9101 Kings Parade Blvd |
| AGENT ATTORNEY ADDRESS2 | Suite 201 |
| AGENT ATTORNEY CITY | Charlotte |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 28273 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17404969467 |
| AGENT ATTORNEY EMAIL ADDRESS | gboult@healthstaff.org |
| LAWFIRM NAME BUSINESS NAME | Worldwide Healthstaff Solutions, Ltd |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5255 Loughboro Rd |
| LCA CASE WORKLOC1 CITY | Washington |
| WORKSITE COUNTY | DISTRICT OF COLUMBIA |
| LCA CASE WORKLOC1 STATE | DC |
| WORKSITE POSTAL CODE | 20016 |
| LCA CASE WAGE RATE FROM | 81972.8 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 75171 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
| PREPARER LAST NAME | Bunch |
| PREPARER FIRST NAME | Nathan |
| PREPARER BUSINESS NAME | Worldwide HealthStaff Solutions, LTD. |
| PREPARER EMAIL | legal@healthstaff.org |