| LCA CASE NUMBER | I-200-16012-815293 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 1/12/16 |
| DECISION DATE | 1/19/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/16 |
| EMPLOYMENT END DATE | 6/30/19 |
| LCA CASE EMPLOYER NAME | CENTENNIAL MEDICAL GROUP, INC. |
| EMPLOYER ADDRESS | 2801 MERCY DRIVE |
| EMPLOYER CITY | ROSEBURG |
| EMPLOYER STATE | OR |
| EMPLOYER POSTAL CODE | 97471 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5416772453 |
| AGENT ATTORNEY NAME | BELL, JEFFREY |
| AGENT ATTORNEY CITY | KANSAS CITY |
| AGENT ATTORNEY STATE | MO |
| LCA CASE JOB TITLE | PEDIATRIC HOSPITALIST |
| SOC CODE | 29-1065 |
| SOC NAME | PEDIATRICIANS, GENERAL |
| NAIC CODE | 621111 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 141,128.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 150,000.00 |
| LCA CASE WAGE RATE TO | 186,928.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | ROSEBURG |
| WORKSITE COUNTY | DOUGLAS |
| LCA CASE WORKLOC1 STATE | OR |
| WORKSITE POSTAL CODE | 97471 |
