| LCA CASE NUMBER | I-200-16239-933565 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 9/6/16 |
| DECISION DATE | 9/12/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 1/4/17 |
| EMPLOYMENT END DATE | 1/3/20 |
| LCA CASE EMPLOYER NAME | MOUNTAIN STATES PHYSICIAN GROUP, INC. |
| EMPLOYER ADDRESS | 1021 W. OAKLAND AVENUE |
| EMPLOYER CITY | JOHNSON CITY |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37604 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 4239155103 |
| AGENT ATTORNEY NAME | EASTRIDGE, MICHAEL |
| AGENT ATTORNEY CITY | JOHNSON CITY |
| AGENT ATTORNEY STATE | TN |
| LCA CASE JOB TITLE | SYSTEM CHAIR, HOSPITALIST SERVICES |
| SOC CODE | 11-9111 |
| SOC NAME | MEDICAL AND HEALTH SERVICES MANAGERS |
| NAIC CODE | 621112 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 112,050.00 |
| 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 | 124,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | JOHNSON CITY |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 37604 |
