| CASE NUMBER | I-200-24289-407106 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/15/2024 |
| DECISION DATE | 10/22/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Attending Neonatologist |
| SOC CODE | 29-1229.02 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/3/2025 |
| END DATE | 1/2/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| 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 | Elanjithara |
| AGENT ATTORNEY FIRST NAME | Nancy |
| AGENT ATTORNEY MIDDLE NAME | Marilyn |
| 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 | nelanjithara@maggio-kattar.com |
| LAWFIRM NAME BUSINESS NAME | Maggio Kattar Nahajzer + Alexander, PC |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | DC 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 | $230,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $240,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $157,581.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| 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 | Elanjithara |
| PREPARER FIRST NAME | Nancy |
| PREPARER MIDDLE INITIAL | Mar |
| PREPARER BUSINESS NAME | Maggio Kattar Nahajzer + Alexander, PC |
| PREPARER EMAIL | nelanjithara@maggio-kattar.com |
| BEGIN DATE CONVERTED | 2025-01-03 |
