\ H1B CASE NUMBER I-200-22250-458366



CASE NUNBER: I-200-22250-458366

LCA CASE NUMBERI-200-22250-458366
STATUSCertified - Withdrawn
LCA CASE SUBMIT2022-09-07
DECISION DATE2022-11-01
ORIGINAL CERT DATE2022-09-14
VISA CLASSH-1B
LCA CASE JOB TITLEFamily Medicine Physician
SOC CODE29-1215.00
SOC TITLEFamily Medicine Physicians
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2022-10-01
END DATE2025-09-30
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMESouthern Plains Medical Center, Inc.
EMPLOYER ADDRESS12222 W. Iowa Ave.
EMPLOYER CITYChickasha
EMPLOYER STATEOK
EMPLOYER POSTAL CODE73018
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE12142502140
NAICS CODE621111
EMPLOYER POC LAST NAMEBoghara
EMPLOYER POC FIRST NAMEHaresh
EMPLOYER POC JOB TITLEPresident and CEO
EMPLOYER POC ADDRESS12222 W. Iowa Ave.
EMPLOYER POC CITYChickasha
EMPLOYER POC STATEOK
EMPLOYER POC POSTAL CODE73018
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE12142502140
EMPLOYER POC EMAIL[email protected]
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEStump
AGENT ATTORNEY FIRST NAMEMatthew
AGENT ATTORNEY MIDDLE NAMEDouglas
AGENT ATTORNEY ADDRESS1301 NW 63rd Street
AGENT ATTORNEY ADDRESS2Suite 250
AGENT ATTORNEY CITYOklahoma City
AGENT ATTORNEY STATEOK
AGENT ATTORNEY POSTAL CODE73116
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE14058790800
AGENT ATTORNEY EMAIL ADDRESS[email protected]
LAWFIRM NAME BUSINESS NAMEStump and Associates, PC
STATE OF HIGHEST COURTOK
NAME OF HIGHEST STATE COURTOklahoma Supreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS12222 W. Iowa Avenue
LCA CASE WORKLOC1 CITYChickasha
WORKSITE COUNTYGRADY
LCA CASE WORKLOC1 STATEOK
WORKSITE POSTAL CODE73018
LCA CASE WAGE RATE FROM226824
LCA CASE WAGE RATE TO255000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE226824
PW UNIT OF PAYYear
PW WAGE LEVELIII
PW OES YEAR7/1/2022 - 6/30/2023
TOTAL WORKSITE LOCATIONS2
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEStump
PREPARER FIRST NAMEMatthew
PREPARER MIDDLE INITIALD.
PREPARER BUSINESS NAMEStump and Associates, P.C.
PREPARER EMAIL[email protected]