| LCA CASE NUMBER | I-200-18023-771573 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 1/23/18 |
| DECISION DATE | 1/29/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2/1/18 |
| EMPLOYMENT END DATE | 1/31/21 |
| LCA CASE EMPLOYER NAME | FORT SMITH HMA PBC MANAGEMENT LLC |
| EMPLOYER ADDRESS | 520 TOWSON AVE, SUITE B |
| EMPLOYER CITY | FORT SMITH |
| EMPLOYER STATE | AR |
| EMPLOYER POSTAL CODE | 72901 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4797091900 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | TAUB, ELISSA |
| AGENT ATTORNEY CITY | MEMPHIS |
| AGENT ATTORNEY STATE | TN |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 175,531.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 450,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | FORT SMITH |
| WORKSITE COUNTY | ARKANSAS |
| LCA CASE WORKLOC1 STATE | AR |
| WORKSITE POSTAL CODE | 72901 |
