| LCA CASE NUMBER | I-200-17102-512801 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/27/2017 |
| DECISION DATE | 5/3/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/2017 |
| EMPLOYMENT END DATE | 6/30/2020 |
| LCA CASE EMPLOYER NAME | KINGMAN HOSPITAL |
| EMPLOYER BUSINESS DBA | KINGMAN REGIONAL MEDICAL CENTER |
| EMPLOYER ADDRESS | 3269 STOCKTON HILL RD |
| EMPLOYER CITY | KINGMAN |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 86401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 9286818595 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | ARONSON, ROBERT |
| AGENT ATTORNEY CITY | MINNEAPOLIS |
| AGENT ATTORNEY STATE | MN |
| LCA CASE JOB TITLE | CARDIOLOGIST |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 269,027.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 432,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | KINGMAN |
| WORKSITE COUNTY | MOHAVE |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 86401 |
