| LCA CASE NUMBER | I-200-19283-080904 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-10 |
| DECISION DATE | 2019-10-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Faculty Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-12-31 |
| END DATE | 2022-12-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Banner University Medical Group |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2901 N. Central Avenue |
| EMPLOYER ADDRESS2 | Suite 160 |
| EMPLOYER CITY | Phoenix |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85012 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +16027474000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Yaqub |
| EMPLOYER POC FIRST NAME | Yusuf |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | Director, HR Shared Services |
| EMPLOYER POC ADDRESS1 | 2901 N. Central Avenue |
| EMPLOYER POC ADDRESS2 | Suite 160 |
| EMPLOYER POC CITY | Phonenix |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85012 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +16027474000 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Martinez |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 1850 N. Central Ave. |
| AGENT ATTORNEY ADDRESS2 | Ste. # 1400 |
| AGENT ATTORNEY CITY | Phonenix |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85004 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16022855056.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Dickinson Wright, PLLC |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Arizona Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1625 N. Campbell Ave. |
| LCA CASE WORKLOC1 CITY | Phoenix |
| WORKSITE COUNTY | PIMA |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 85012 |
| LCA CASE WAGE RATE FROM | 206867.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 160846.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 3.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Martinez |
| PREPARER FIRST NAME | Matthew |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Dickinson Wright, PLLC |
| PREPARER EMAIL | [email protected] |
