| LCA CASE NUMBER | I-200-23257-347196 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-09-14 |
| DECISION DATE | 2023-09-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | FAMILY MEDICINE PHYSICIAN |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-16 |
| END DATE | 2026-10-15 |
| 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 | Franciscan Medical Group |
| EMPLOYER ADDRESS1 | 1717 South J Street |
| EMPLOYER CITY | Tacoma |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98405 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | WASHINGTON |
| EMPLOYER PHONE | 12537796120 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Gallion |
| EMPLOYER POC FIRST NAME | Stephanie |
| EMPLOYER POC MIDDLE NAME | T |
| EMPLOYER POC JOB TITLE | Physician Services On-Boarding Assistant |
| EMPLOYER POC ADDRESS1 | 2420 South State Street |
| EMPLOYER POC ADDRESS2 | MAIL STOP 20-21 |
| EMPLOYER POC CITY | Tacoma |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98405 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12537796121 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bell |
| AGENT ATTORNEY FIRST NAME | Jeffrey |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 900 West 48th Place |
| AGENT ATTORNEY ADDRESS2 | Suite 900 |
| AGENT ATTORNEY CITY | Kansas City |
| AGENT ATTORNEY STATE | MO |
| AGENT ATTORNEY POSTAL CODE | 64112 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | MO |
| AGENT ATTORNEY PHONE | 18163604264 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Polsinelli |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 30809 1st Ave. South |
| LCA CASE WORKLOC1 CITY | Federal Way |
| WORKSITE COUNTY | KING |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98003 |
| LCA CASE WAGE RATE FROM | 240000 |
| LCA CASE WAGE RATE TO | 265000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 239200 |
| PW UNIT OF PAY | Year |
| 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 |
| PREPARER LAST NAME | Bell |
| PREPARER FIRST NAME | Jeffrey |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Polsinelli PC |
| PREPARER EMAIL | [email protected] |
