| LCA CASE NUMBER | I-200-18123-730278 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 5/3/18 |
| DECISION DATE | 5/9/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/18 |
| EMPLOYMENT END DATE | 6/30/21 |
| LCA CASE EMPLOYER NAME | TRI-STATE MEMORIAL HOSPITAL |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 1221 HIGHLAND AVE. |
| EMPLOYER CITY | CLARKSTON |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 99403 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5097584657 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | ROACH, EAMONN |
| AGENT ATTORNEY CITY | PASCO |
| AGENT ATTORNEY STATE | WA |
| LCA CASE JOB TITLE | INFECTIOUS DISEASE PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 135,866.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 275,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | CLARKSTON |
| WORKSITE COUNTY | ASOTIN |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 99403 |
