| LCA CASE NUMBER | I-200-17075-636853 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 3/16/2017 |
| DECISION DATE | 3/22/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/5/2017 |
| EMPLOYMENT END DATE | 8/4/2020 |
| LCA CASE EMPLOYER NAME | KENTUCKY ONE HEALTH MEDICAL GROUP |
| EMPLOYER ADDRESS | 100 EAST LIBERTY STREET |
| EMPLOYER CITY | LOUISVILLE |
| EMPLOYER STATE | KY |
| EMPLOYER POSTAL CODE | 40202 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5025403387 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | DUTTON, ANDREW |
| AGENT ATTORNEY CITY | GARDEN CITY |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | PHYSICIAN (HOSPITALIST) |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 214,781.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 228,000.00 |
| 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 | LOUISVILLE |
| WORKSITE COUNTY | JEFFERSON |
| LCA CASE WORKLOC1 STATE | KY |
| WORKSITE POSTAL CODE | 40202 |
