\ H1B CASE NUMBER I-200-21075-151118



CASE NUNBER: I-200-21075-151118

LCA CASE NUMBERI-200-21075-151118
STATUSCertified
LCA CASE SUBMIT2021-03-16
DECISION DATE2021-03-23
VISA CLASSH-1B
LCA CASE JOB TITLEPhysician - Family Medicine
SOC CODE29-1062.00
SOC TITLEFamily and General Practitioners
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2021-08-06
END DATE2024-08-05
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMERoosevelt General Hospital
EMPLOYER ADDRESS142121 US Highway 70
EMPLOYER CITYPortables
EMPLOYER STATENM
EMPLOYER POSTAL CODE88130
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE15753563412
NAICS CODE622110
EMPLOYER POC LAST NAMEGreen
EMPLOYER POC FIRST NAMEKaye
EMPLOYER POC JOB TITLEChief Executive Officer
EMPLOYER POC ADDRESS 142121 US Highway 70
EMPLOYER POC CITYPortales
EMPLOYER POC STATENM
EMPLOYER POC POSTAL CODE88130
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE15753563412
EMPLOYER POC EMAILKGreen@myrgh.com
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMENajfabadi
AGENT ATTORNEY FIRST NAMEElahe
AGENT ATTORNEY ADDRESS11999 Avenue of the Stars
AGENT ATTORNEY ADDRESS2Suite 1100
AGENT ATTORNEY CITYLos Angeles
AGENT ATTORNEY STATECA
AGENT ATTORNEY POSTAL CODE90067
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE13102846898
AGENT ATTORNEY EMAIL ADDRESSellie@enajfabadi.com
LAWFIRM NAME BUSINESS NAMELaw Offices of Elahe Najfabadi
STATE OF HIGHEST COURTCA
NAME OF HIGHEST STATE COURTCA Supreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS142121 US Highway 70
LCA CASE WORKLOC1 CITYPortales
WORKSITE COUNTYROOSEVELT
LCA CASE WORKLOC1 STATENM
WORKSITE POSTAL CODE88130
LCA CASE WAGE RATE FROM401800
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE208000
PW UNIT OF PAYYear
PW OES YEAR7/1/2020 - 6/30/2021
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business