| LCA CASE NUMBER | I-200-23216-241275 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-08-04 |
| DECISION DATE | 2023-08-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff Physician - Internal Medicine Specialty |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-01 |
| END DATE | 2026-09-30 |
| 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 | GUAM HEALTHCARE DEVELOPMENT INC. |
| TRADE NAME DBA | Guam Regional Medical City |
| EMPLOYER ADDRESS1 | 133 Route 3 |
| EMPLOYER CITY | Dededo |
| EMPLOYER STATE | GU |
| EMPLOYER POSTAL CODE | 96929 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16716455680 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | HUNTSMAN |
| EMPLOYER POC FIRST NAME | Charlotte |
| EMPLOYER POC MIDDLE NAME | D |
| EMPLOYER POC JOB TITLE | Senior Vice President, Chief Human Resources Officer |
| EMPLOYER POC ADDRESS1 | 133 Route 3 |
| EMPLOYER POC CITY | Dededo |
| EMPLOYER POC STATE | GU |
| EMPLOYER POC POSTAL CODE | 96929 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16716455680 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | XU |
| AGENT ATTORNEY FIRST NAME | Nelson |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 238 Archbishop Flores Street |
| AGENT ATTORNEY ADDRESS2 | Suite 903 |
| AGENT ATTORNEY CITY | Hagatna |
| AGENT ATTORNEY STATE | GU |
| AGENT ATTORNEY POSTAL CODE | 96910 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16714779084 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | BAUMANN, XU and BLACK, LLC |
| STATE OF HIGHEST COURT | GU |
| NAME OF HIGHEST STATE COURT | Supreme Court of Guam |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 133 Route 3 |
| LCA CASE WORKLOC1 CITY | Dededo |
| WORKSITE COUNTY | DEDEDO |
| LCA CASE WORKLOC1 STATE | GU |
| WORKSITE POSTAL CODE | 96929 |
| LCA CASE WAGE RATE FROM | 157 |
| LCA CASE WAGE RATE TO | 170 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 143.03 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | XU |
| PREPARER FIRST NAME | Nelson |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | BAUMANN, XU AND BLACK, LLC |
| PREPARER EMAIL | [email protected] |
