| LCA CASE NUMBER | I-200-18180-326797 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/29/18 |
| DECISION DATE | 7/6/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 11/13/18 |
| EMPLOYMENT END DATE | 11/13/21 |
| LCA CASE EMPLOYER NAME | ST. CROIX REGIONAL MEDICAL CENTER |
| EMPLOYER ADDRESS | 235 STATE ST. |
| EMPLOYER CITY | ST. CROIX FALLS |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54024 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7154830233 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | GOTCHER, JAMES |
| AGENT ATTORNEY CITY | CALABASAS HILLS |
| AGENT ATTORNEY STATE | CA |
| LCA CASE JOB TITLE | HOSPITALIST |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER PHYSICIANS AND |
| NAICS CODE | 621491 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 285,293.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 292,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | ST. CROIX FALLS |
| WORKSITE COUNTY | POLK |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54024 |
