\ H1B CASE NUMBER I-200-17067-095305



CASE NUNBER: I-200-17067-095305

LCA CASE NUMBERI-200-17067-095305
STATUSCERTIFIED
LCA CASE SUBMIT3/9/2017
DECISION DATE3/15/2017
VISA CLASSH-1B
LCA CASE EMPLOYMENT START DATE7/30/2017
EMPLOYMENT END DATE7/29/2020
LCA CASE EMPLOYER NAMECEDAR VALLEY MEDICAL SPECIALISTS, P.C.
EMPLOYER BUSINESS DBAN/A
EMPLOYER ADDRESS4150 KIMBALL AVENUE
EMPLOYER CITYWATERLOO
EMPLOYER STATEIA
EMPLOYER POSTAL CODE50701
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PROVINCEN/A
EMPLOYER PHONE3192355390
AGENT REPRESENTING EMPLOYERY
AGENT ATTORNEY NAMEPEDERSON, JAN
AGENT ATTORNEY CITYWASHINGTON
AGENT ATTORNEY STATEDC
LCA CASE JOB TITLERADIOLOGIST
SOC CODE29-1069
SOC NAMEPHYSICIANS AND SURGEONS, ALL OTHER
NAICS CODE621111
TOTAL WORKERS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
FULL TIME POSITIONY
PREVAILING WAGE169,291.00
PW UNIT OF PAYYear
PW WAGE LEVELLevel II
PW SOURCEOES
PW SOURCE YEAR2017
PW SOURCE OTHEROFLC ONLINE DATA CENTER
LCA CASE WAGE RATE FROM400,000.00
LCA CASE WAGE RATE TO0.00
LCA CASE WAGE RATE UNITYear
H1B DEPENDENTN
WILLFUL VIOLATORN
SUPPORT H1BNA
LABOR CON AGREEY
LCA CASE WORKLOC1 CITYWATERLOO
WORKSITE COUNTYBLACK HAWK
LCA CASE WORKLOC1 STATEIA
WORKSITE POSTAL CODE50703