| LCA CASE NUMBER | I-200-20006-234805 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-01-06 |
| DECISION DATE | 2020-01-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician Family Medicine |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-01-09 |
| END DATE | 2023-01-08 |
| 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 | PUBLIC HOSPITAL DIST NO 1 OF MASON COUNTY |
| TRADE NAME DBA | MASON GENERAL HOSPITAL |
| EMPLOYER ADDRESS1 | 901 MOUNTAIN VIEW DRIVE |
| EMPLOYER ADDRESS2 | BUILDING 1 |
| EMPLOYER CITY | SHELTON |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98584 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13604279549 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | MOLL |
| EMPLOYER POC FIRST NAME | ERIC |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS1 | 901 MOUNTAIN VIEW DRIVE |
| EMPLOYER POC ADDRESS2 | BUILDING 1 |
| EMPLOYER POC CITY | SHELTON |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98584 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13604279549 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | MASUD |
| AGENT ATTORNEY FIRST NAME | DAVID |
| AGENT ATTORNEY ADDRESS1 | 4449 FASHION SQUARE BLVD |
| AGENT ATTORNEY ADDRESS2 | SUITE 1 |
| AGENT ATTORNEY CITY | SAGINAW |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48603 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19897924499.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | MASUD LABOR LAW GROUP |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1812 North 13th Loop Road |
| LCA CASE WORKLOC1 CITY | Shelton |
| WORKSITE COUNTY | MASON |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98584 |
| LCA CASE WAGE RATE FROM | 238012.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 178256.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
