| CASE NUMBER | I-200-24194-194545 |
| CASE STATUS | Certified |
| RECEIVED DATE | 7/12/2024 |
| DECISION DATE | 7/19/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Medical Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/5/2024 |
| END DATE | 8/4/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Children's National Medical Center |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 111 Michigan Avenue NW |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Washington |
| EMPLOYER STATE | DC |
| EMPLOYER POSTAL CODE | 20010 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +12024714868 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Phuong |
| EMPLOYER POC FIRST NAME | Anthony |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Senior Paralegal, Healthcare Operations |
| EMPLOYER POC ADDRESS1 | 111 Michigan Avenue NW |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Washington |
| EMPLOYER POC STATE | DC |
| EMPLOYER POC POSTAL CODE | 20010 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +12024714868 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | APhuong@childrensnational.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Wallace |
| AGENT ATTORNEY FIRST NAME | Andrea-Li |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 1800 Massachusetts Ave NW |
| AGENT ATTORNEY ADDRESS2 | Ste. 300 |
| AGENT ATTORNEY CITY | Washington |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +12024830053 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | awallace@maggio-kattar.com |
| LAWFIRM NAME BUSINESS NAME | Maggio Kattar Nahajzer + Alexander, PC |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | District of Columbia Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 111 Michigan Ave NW |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Washington |
| WORKSITE COUNTY | DISTRICT OF COLUMBIA |
| WORKSITE STATE | DC |
| WORKSITE POSTAL CODE | 20010 |
| WAGE RATE OF PAY FROM | 29.33 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $47.39 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $29.33 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| 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 | Bushaw |
| PREPARER FIRST NAME | Amber |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Maggio Kattar Nahajzer + Alexander, PC |
| PREPARER EMAIL | abushaw@maggio-kattar.com |
| BEGIN DATE CONVERTED | 2024-05-08 |
