| LCA CASE NUMBER | I-200-16258-439174 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 9/19/16 |
| DECISION DATE | 9/23/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/1/16 |
| EMPLOYMENT END DATE | 9/30/19 |
| LCA CASE EMPLOYER NAME | BANNER MEDICAL GROUP COLORADO |
| EMPLOYER ADDRESS | 1801 16TH STREET |
| EMPLOYER CITY | GREELEY |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80631 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 9703524121 |
| AGENT ATTORNEY NAME | MARTINEZ, MATTHEW |
| AGENT ATTORNEY CITY | PHOENIX |
| AGENT ATTORNEY STATE | AZ |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1063 |
| SOC NAME | INTERNISTS, GENERAL |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 60.24 |
| PW UNIT OF PAY | Hour |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 120.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | BRUSH |
| WORKSITE COUNTY | MORGAN |
| LCA CASE WORKLOC1 STATE | CO |
| WORKSITE POSTAL CODE | 80723 |
