| LCA CASE NUMBER | I-200-22074-980104 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-03-15 |
| DECISION DATE | 2022-03-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-07-01 |
| END DATE | 2025-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | San Juan Regional Medical Center |
| EMPLOYER ADDRESS1 | 801 W. MAPLE |
| EMPLOYER CITY | Farmington |
| EMPLOYER STATE | NM |
| EMPLOYER POSTAL CODE | 87401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15056092000 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Eley |
| EMPLOYER POC FIRST NAME | Anne |
| EMPLOYER POC JOB TITLE | General Counsel Vice President of Legal Affairs |
| EMPLOYER POC ADDRESS1 | 801 W. MAPLE |
| EMPLOYER POC CITY | Farmington |
| EMPLOYER POC STATE | NM |
| EMPLOYER POC POSTAL CODE | 87401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15056096053 |
| EMPLOYER POC EMAIL | aeley@sjrmc.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Zeller |
| AGENT ATTORNEY FIRST NAME | Christian |
| AGENT ATTORNEY ADDRESS1 | 101 E. Kennedy Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 1700 |
| AGENT ATTORNEY CITY | Tampa |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18132211366 |
| AGENT ATTORNEY EMAIL ADDRESS | t.reardon@maneygordon.com |
| LAWFIRM NAME BUSINESS NAME | Maney Gordon Zeller PA |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Florida Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | San Juan Regional Medical Center |
| WORKSITE ADDRESS2 | 801 W Maple |
| LCA CASE WORKLOC1 CITY | Farmington |
| WORKSITE COUNTY | SAN JUAN |
| LCA CASE WORKLOC1 STATE | NM |
| WORKSITE POSTAL CODE | 87401 |
| LCA CASE WAGE RATE FROM | 254468 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 117957 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Reardon |
| PREPARER FIRST NAME | Timothy |
| PREPARER BUSINESS NAME | Maney | Gordon | Zeller, P.A. |
| PREPARER EMAIL | t.reardon@maneygordon.com |
