| LCA CASE NUMBER | I-200-24198-198840 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-07-16 |
| DECISION DATE | 2024-07-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician - Primary Care |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-08-31 |
| END DATE | 2027-08-31 |
| 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 | VA Northeast Ohio Health Care System |
| EMPLOYER ADDRESS1 | 10701 East Boulevard |
| EMPLOYER CITY | Cleveland |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44106 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12167913800 |
| EMPLOYER FEIN | 34-0715726 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Bussa |
| EMPLOYER POC FIRST NAME | Matthew |
| EMPLOYER POC MIDDLE NAME | P |
| EMPLOYER POC JOB TITLE | Health System Specialist |
| EMPLOYER POC ADDRESS1 | 10701 East Boulevard |
| EMPLOYER POC CITY | Cleveland |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44106 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12167913800 |
| EMPLOYER POC EMAIL | Matthew.Bussa@va.gov |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1025 South Trimble Road |
| LCA CASE WORKLOC1 CITY | Mansfield |
| WORKSITE COUNTY | RICHLAND |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44906 |
| LCA CASE WAGE RATE FROM | 259467 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 122866 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Rahija |
| PREPARER FIRST NAME | Michelle |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | The Law Offices of Michelle A Rahija, LLC |
| PREPARER EMAIL | MARahija@aol.com |