| LCA CASE NUMBER | I-200-16096-053324 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/18/16 |
| DECISION DATE | 4/22/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/15/16 |
| EMPLOYMENT END DATE | 8/14/19 |
| LCA CASE EMPLOYER NAME | ROOSEVELT GENERAL HOSPITAL |
| EMPLOYER ADDRESS | 42121 US HWY 70 |
| EMPLOYER CITY | PORTALES |
| EMPLOYER STATE | NM |
| EMPLOYER POSTAL CODE | 88130 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5753566652 |
| AGENT ATTORNEY NAME | NAJFABADI, ELAHE |
| AGENT ATTORNEY CITY | CENTURY CITY |
| AGENT ATTORNEY STATE | CA |
| LCA CASE JOB TITLE | PHYSICIAN - FAMILY PRACTITIONER |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 186,472.00 |
| 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 | 200,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | PORTALES |
| WORKSITE COUNTY | ROOSEVELT |
| LCA CASE WORKLOC1 STATE | NM |
| WORKSITE POSTAL CODE | 88130 |
