| LCA CASE NUMBER | I-200-20136-577850 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-15 |
| DECISION DATE | 2020-05-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Cardiothoracic Surgeon |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-06-29 |
| END DATE | 2023-06-28 |
| 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 | Yavapai Cardiac Surgery, PC |
| EMPLOYER ADDRESS1 | 811 Ainsworth Dr |
| EMPLOYER ADDRESS2 | Suite 109 |
| EMPLOYER CITY | Prescott |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 86301 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19287715595 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Tibi |
| EMPLOYER POC FIRST NAME | Pierre |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 811 Ainsworth Dr |
| EMPLOYER POC ADDRESS2 | Suite 109 |
| EMPLOYER POC CITY | Prescott |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 86301 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16029993535 |
| EMPLOYER POC EMAIL | petertibi@gmail.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Mehta |
| AGENT ATTORNEY FIRST NAME | Khorzad |
| AGENT ATTORNEY MIDDLE NAME | Adi |
| AGENT ATTORNEY ADDRESS1 | 10451 Mill Run Circle |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Owings Mills |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 21117 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14103565440.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jenniferg@murthy.com |
|
| LAWFIRM NAME BUSINESS NAME | Murthy Law Firm |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | District of Columbia Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Yavapai Regional Medical Center West |
| WORKSITE ADDRESS1 | 1003 Willow Creek Road |
| LCA CASE WORKLOC1 CITY | Prescott |
| WORKSITE COUNTY | YAVAPAI |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 86301 |
| LCA CASE WAGE RATE FROM | 350000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Gordon |
| PREPARER FIRST NAME | Jennifer |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Murthy Law Firm |
| PREPARER EMAIL | jenniferg@murthy.com |
