| LCA CASE NUMBER | I-200-23216-240438 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-08-04 |
| DECISION DATE | 2023-08-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Pediatrician) |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-09-01 |
| END DATE | 2026-08-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Gritman Medical Center, Inc. |
| EMPLOYER ADDRESS1 | 700 S. Main Street |
| EMPLOYER CITY | Moscow |
| EMPLOYER STATE | ID |
| EMPLOYER POSTAL CODE | 83843 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12088832220 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Breed |
| EMPLOYER POC FIRST NAME | Danielle |
| EMPLOYER POC JOB TITLE | Administrative Chief of Staff |
| EMPLOYER POC ADDRESS1 | 700 S. Main Street |
| EMPLOYER POC CITY | Moscow |
| EMPLOYER POC STATE | ID |
| EMPLOYER POC POSTAL CODE | 83843 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12088832220 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Rodriguez-Story |
| AGENT ATTORNEY FIRST NAME | Celsa |
| AGENT ATTORNEY MIDDLE NAME | Judith |
| AGENT ATTORNEY ADDRESS1 | 11325 Pegasus Street |
| AGENT ATTORNEY ADDRESS2 | Suite E-265 |
| AGENT ATTORNEY CITY | Dallas |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75238 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12144948033 |
| AGENT ATTORNEY PHONE EXT | 1003 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Ann Massey Badmus PC dba Badmus & Associates |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 623 S. Main Street |
| LCA CASE WORKLOC1 CITY | Moscow |
| WORKSITE COUNTY | LATAH |
| LCA CASE WORKLOC1 STATE | ID |
| WORKSITE POSTAL CODE | 83843 |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 135034 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
