| LCA CASE NUMBER | I-200-17012-223917 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 1/16/2017 |
| DECISION DATE | 1/20/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/1/2017 |
| EMPLOYMENT END DATE | 6/30/2020 |
| LCA CASE EMPLOYER NAME | MARYLAND PROVO-I MEDICAL SERVICES, P.C. |
| EMPLOYER BUSINESS DBA | N/A |
| EMPLOYER ADDRESS | 6363 S. FIDDLER'S GREEN CIRCLE |
| EMPLOYER CITY | GREENWOOD VILLAGE |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80111 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | N/A |
| EMPLOYER PHONE | 3034951463 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | BALDWIN, TIFFANY |
| AGENT ATTORNEY CITY | FAIRVIEW HEIGHTS |
| AGENT ATTORNEY STATE | IL |
| LCA CASE JOB TITLE | EMERGENCY MEDICINE PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 192,712.00 |
| 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 | 200,000.00 |
| LCA CASE WAGE RATE TO | 230,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | BALTIMORE |
| WORKSITE COUNTY | BALTIMORE CITY |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 21215 |
