| CASE NUMBER | I-200-24187-176820 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/5/2024 |
| DECISION DATE | 7/12/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Nephrologist |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/1/2024 |
| END DATE | 8/31/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Great Lakes Physician Practice, PC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 600 Grant Street |
| EMPLOYER ADDRESS2 | U.S. Steel Tower, 57th Floor |
| EMPLOYER CITY | Pittsburgh |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 15219 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +14126478243 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Stevenson |
| EMPLOYER POC FIRST NAME | Lisa |
| EMPLOYER POC MIDDLE NAME | Claypool |
| EMPLOYER POC JOB TITLE | Senior Associate Counsel |
| EMPLOYER POC ADDRESS1 | 600 Grant Street |
| EMPLOYER POC ADDRESS2 | US Steel Tower, 57th Floor |
| EMPLOYER POC CITY | Pittsburgh |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 15219 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +14126478243 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | claypoolle@upmc.edu |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Azulay |
| AGENT ATTORNEY FIRST NAME | Amit |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 21650 Oxnard St |
| AGENT ATTORNEY ADDRESS2 | Ste 1408 |
| AGENT ATTORNEY CITY | Woodland Hills |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91367 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | CALIFORNIA |
| AGENT ATTORNEY PHONE | +18184353500 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | aazulay@sostrin.com |
| LAWFIRM NAME BUSINESS NAME | Sostrin Immigration Lawyers, LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 15 South Main Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Jamestown |
| WORKSITE COUNTY | CHAUTAUQUA |
| WORKSITE STATE | NY |
| WORKSITE POSTAL CODE | 14701 |
| WAGE RATE OF PAY FROM | 325,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $98,280.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-09 |
