| LCA CASE NUMBER | I-200-16239-786017 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 8/26/16 |
| DECISION DATE | 9/1/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/28/16 |
| EMPLOYMENT END DATE | 10/27/19 |
| LCA CASE EMPLOYER NAME | HOSPITALIST MEDICINE PHYSICIANS OF INDIANA, LLC |
| EMPLOYER ADDRESS | 1498 PACIFIC AVE. |
| EMPLOYER CITY | TACOMA |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98402 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8008509665 |
| AGENT ATTORNEY NAME | NGUYEN, THU |
| AGENT ATTORNEY CITY | DALLAS |
| AGENT ATTORNEY STATE | TX |
| LCA CASE JOB TITLE | HOSPITALIST PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAIC CODE | 621111 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 121,534.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 240,120.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | MISHAWAKA |
| WORKSITE COUNTY | ST JOSEPH |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46545 |
