| CASE NUMBER | I-200-24082-823006 |
| CASE STATUS | Certified - Withdraw |
| RECEIVED DATE | 3/22/2024 |
| DECISION DATE | 7/1/2024 |
| ORIGINAL CERT DATE | 3/29/2024 |
| VISA CLASS | H-1B |
| JOB TITLE | Core Lab Supervisor - Chemistry |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/22/2024 |
| END DATE | 2/28/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | MedStar-Georgetown Medical Center, Inc. |
| TRADE NAME DBA | MedStar Georgetown University Hospital |
| EMPLOYER ADDRESS1 | 3800 Reservoir Rd |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Washington |
| EMPLOYER STATE | DC |
| EMPLOYER POSTAL CODE | 20007 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +12024442000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Johnson |
| EMPLOYER POC FIRST NAME | Eric |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 2233 Wisconsin Ave NW |
| EMPLOYER POC ADDRESS2 | Suite 500 |
| EMPLOYER POC CITY | Washington |
| EMPLOYER POC STATE | DC |
| EMPLOYER POC POSTAL CODE | 20007 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +12022950632 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Eric.M.Johnson@medstar.net |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Fu |
| AGENT ATTORNEY FIRST NAME | Minnie |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 10701 Parkridge Blvd. |
| AGENT ATTORNEY ADDRESS2 | Ste. 300 |
| AGENT ATTORNEY CITY | Reston |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20191 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +17034838300 |
| AGENT ATTORNEY PHONE EXT | 8311 |
| AGENT ATTORNEY EMAIL ADDRESS | Minnie.Fu@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3800 Reservoir Rd NW |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Washington |
| WORKSITE COUNTY | DISTRICT OF COLUMBIA |
| WORKSITE STATE | DC |
| WORKSITE POSTAL CODE | 20007 |
| WAGE RATE OF PAY FROM | 56.19 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $36.14 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| 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 | Ahenkora-Kwakyi |
| PREPARER FIRST NAME | M. |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | M.Ahenkora-Kwakyi@jacksonlewis.com |
| BEGIN DATE CONVERTED | 2025-10-03 |
