| LCA CASE NUMBER | I-200-17010-621430 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 1/10/2017 |
| DECISION DATE | 1/17/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/4/2017 |
| EMPLOYMENT END DATE | 7/3/2020 |
| LCA CASE EMPLOYER NAME | THE MARY IMOGENE BASSETT HOSPITAL |
| EMPLOYER BUSINESS DBA | BASSETT MEDICAL CENTER |
| EMPLOYER ADDRESS | ONE ATWELL ROAD |
| EMPLOYER CITY | COOPERSTOWN |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13326 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6075476982 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | BRIGSTED, ESQ., ANNETTE |
| AGENT ATTORNEY CITY | IVINS |
| AGENT ATTORNEY STATE | UT |
| LCA CASE JOB TITLE | PHYSICIAN (INTERNAL MEDICINE/PRIMARY CARE) |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 192,525.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level III |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 204,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | COOPERSTOWN |
| WORKSITE COUNTY | OTSEGO |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13326 |
