| LCA CASE NUMBER | I-200-16237-992196 |
| STATUS | CERTIFIED-WITHDRAWN |
| LCA CASE SUBMIT | 8/24/2016 |
| DECISION DATE | 5/12/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/16/2016 |
| EMPLOYMENT END DATE | 9/15/2019 |
| LCA CASE EMPLOYER NAME | LASSEN MEDICAL GROUP, INC. |
| EMPLOYER ADDRESS | 2450 SISTER MARY COLUMBA DRIVE |
| EMPLOYER CITY | RED BLUFF |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 96080 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5305270414 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | TEDROW, KLARI |
| AGENT ATTORNEY CITY | HOMEWOOD |
| AGENT ATTORNEY STATE | AL |
| LCA CASE JOB TITLE | PEDIATRIC HOSPITALIST |
| SOC CODE | 29-1065 |
| SOC NAME | PEDIATRICIANS, GENERAL |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | N |
| PREVAILING WAGE | 66.90 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 66.90 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | RED BLUFF |
| WORKSITE COUNTY | TEHAMA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 96080 |
| ORIGINAL CERT DATE | 8/30/2016 |
