| LCA CASE NUMBER | I-200-20253-812379 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-09 |
| DECISION DATE | 2020-09-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-09-14 |
| END DATE | 2023-07-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Mountain Park Health Center |
| EMPLOYER ADDRESS1 | 3003 N Central Avenue |
| EMPLOYER ADDRESS2 | Suite 1600 |
| EMPLOYER CITY | Phoenix |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85012 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16022323344 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Clark |
| EMPLOYER POC FIRST NAME | Stephanie |
| EMPLOYER POC JOB TITLE | Legal Executive Assistant |
| EMPLOYER POC ADDRESS1 | 3003 N Central Avenue |
| EMPLOYER POC ADDRESS2 | Suite 1600 |
| EMPLOYER POC CITY | Phoenix |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85012 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16022437277 |
| 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 Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 1400 |
| AGENT ATTORNEY CITY | Phoenix |
| 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 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 635 E Baseline Road |
| LCA CASE WORKLOC1 CITY | Phoenix |
| WORKSITE COUNTY | MARICOPA |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 85042 |
| LCA CASE WAGE RATE FROM | 89.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 71.08 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Miller |
| PREPARER FIRST NAME | Christine |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Dickinson Wright PLLC |
| PREPARER EMAIL | [email protected] |
