| CASE NUMBER | I-200-24253-322739 |
| CASE STATUS | Withdrawn |
| RECEIVED DATE | 9/9/2024 |
| DECISION DATE | 9/12/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Interventional Cardiologist |
| SOC CODE | 29-1212.00 |
| SOC TITLE | Cardiologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 10/1/2024 |
| END DATE | 9/30/2027 |
| 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 | Monongalia County General Hospital Company |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1200 J.D. Anderson Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Morgantown |
| EMPLOYER STATE | WV |
| EMPLOYER POSTAL CODE | 26505 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +13045981203 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Bergstrom |
| EMPLOYER POC FIRST NAME | J. Todd |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Senior Associate General Counsel |
| EMPLOYER POC ADDRESS1 | 1200 J.D. Anderson Drive |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Morgantown |
| EMPLOYER POC STATE | WV |
| EMPLOYER POC POSTAL CODE | 26505 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +13045981203 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Todd.Bergstrom@vandaliahealth.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Green |
| AGENT ATTORNEY FIRST NAME | Liya |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 2020 K Street, NW |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Washington |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20006 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +12023729516 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | liya.green@quarles.com |
| LAWFIRM NAME BUSINESS NAME | Quarles & Brady LLP |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | Court of Appeals - District of Columbia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1200 J.D. Anderson Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Morgantown |
| WORKSITE COUNTY | MONONGALIA |
| WORKSITE STATE | WV |
| WORKSITE POSTAL CODE | 26505 |
| WAGE RATE OF PAY FROM | 560,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $195,520.00 |
| 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 | 6 |
| 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 | 2024-01-10 |
