\ H1B CASE NUMBER I-200-17034-917698



CASE NUNBER: I-200-17034-917698

LCA CASE NUMBERI-200-17034-917698
STATUSCERTIFIED
LCA CASE SUBMIT2/9/2017
DECISION DATE2/15/2017
VISA CLASSH-1B
LCA CASE EMPLOYMENT START DATE7/1/2017
EMPLOYMENT END DATE6/30/2020
LCA CASE EMPLOYER NAMEMOUNTAIN STATES PHYSICIAN GROUP, INC.
EMPLOYER BUSINESS DBAN/A
EMPLOYER ADDRESS1021 W. OAKLAND AVENUE
EMPLOYER CITYJOHNSON CITY
EMPLOYER STATETN
EMPLOYER POSTAL CODE37604
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PROVINCEN/A
EMPLOYER PHONE4239155103
AGENT REPRESENTING EMPLOYERY
AGENT ATTORNEY NAMEEASTRIDGE, MICHAEL
AGENT ATTORNEY CITYJOHNSON CITY
AGENT ATTORNEY STATETN
LCA CASE JOB TITLEHOSPITALIST
SOC CODE29-1063
SOC NAMEINTERNISTS, GENERAL
NAICS CODE621112
TOTAL WORKERS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
FULL TIME POSITIONY
PREVAILING WAGE163,821.00
PW UNIT OF PAYYear
PW WAGE LEVELLevel II
PW SOURCEOES
PW SOURCE YEAR2017
PW SOURCE OTHEROFLC ONLINE DATA CENTER
LCA CASE WAGE RATE FROM164,000.00
LCA CASE WAGE RATE TO200,000.00
LCA CASE WAGE RATE UNITYear
H1B DEPENDENTN
WILLFUL VIOLATORN
SUPPORT H1BNA
LCA CASE WORKLOC1 CITYABINGDON
WORKSITE COUNTYWASHINGTON
LCA CASE WORKLOC1 STATEVA
WORKSITE POSTAL CODE24211