| LCA CASE NUMBER | I-200-17104-480201 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/15/2017 |
| DECISION DATE | 6/21/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 12/12/2017 |
| EMPLOYMENT END DATE | 12/11/2020 |
| LCA CASE EMPLOYER NAME | CENTRACARE CLINIC |
| EMPLOYER ADDRESS | 1200 SIXTH AVENUE NORTH |
| EMPLOYER CITY | ST. CLOUD |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 56303-2736 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 3202402155 |
| EMPLOYER PHONE EXT | 52155 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | HUYNH, LOAN |
| AGENT ATTORNEY CITY | MINNEAPOLIS |
| AGENT ATTORNEY STATE | MN |
| LCA CASE JOB TITLE | PHYSICIAN - PEDIATRICIAN |
| SOC CODE | 29-1065 |
| SOC NAME | PEDIATRICIANS, GENERAL |
| NAICS CODE | 62111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 143,686.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 175,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | ST. CLOUD |
| WORKSITE COUNTY | STEARNS |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 56303 |
