| LCA CASE NUMBER | I-200-17072-480181 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/13/2017 |
| DECISION DATE | 3/17/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/31/2017 |
| EMPLOYMENT END DATE | 8/30/2020 |
| LCA CASE EMPLOYER NAME | TOMAH VA MEDICAL CENTER |
| EMPLOYER ADDRESS | 500 EAST VETERANS STREET |
| EMPLOYER CITY | TOMAH |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54660 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6083721642 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | KAPOOR, ROMY |
| AGENT ATTORNEY CITY | ATLANTA |
| AGENT ATTORNEY STATE | GA |
| LCA CASE JOB TITLE | PRIMARY CARE PHYSICIAN |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 187,450.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 194,278.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | TOMAH |
| WORKSITE COUNTY | MONROE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54660 |
