| LCA CASE NUMBER | I-200-16034-056449 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2/9/16 |
| DECISION DATE | 2/16/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 3/1/16 |
| EMPLOYMENT END DATE | 2/28/19 |
| LCA CASE EMPLOYER NAME | MARYLAND PROVO-I MEDICAL SERVICES, P.C. |
| EMPLOYER ADDRESS | 6200 SOUTH SYRACUSE WAY, SUITE 200 |
| EMPLOYER CITY | GREENWOOD VILLAGE |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80111 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 3034951463 |
| AGENT ATTORNEY NAME | BALDWIN, TIFFANY |
| AGENT ATTORNEY CITY | FAIRVIEW HEIGHTS |
| AGENT ATTORNEY STATE | IL |
| LCA CASE JOB TITLE | EMERGENCY MEDICINE PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAIC CODE | 621111 |
| TOTAL WORKERS | 2 |
| PREVAILING WAGE | 175,531.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 200,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | BALTIMORE |
| WORKSITE COUNTY | BALTIMORE |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 21215 |
