| LCA CASE NUMBER | I-200-18134-503953 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 5/16/18 |
| DECISION DATE | 5/22/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 7/11/18 |
| EMPLOYMENT END DATE | 7/10/21 |
| LCA CASE EMPLOYER NAME | TRI-STATE MEDICAL SPECIALISTS, LLC |
| EMPLOYER BUSINESS DBA | TRISTATE PAIN INSTITUTE |
| EMPLOYER ADDRESS | P.O. BOX 753904 |
| EMPLOYER CITY | LAS VEGAS |
| EMPLOYER STATE | NV |
| EMPLOYER POSTAL CODE | 89136 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 9287883555 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | DOWNS-VOLLBRACHT, D'ARCY |
| AGENT ATTORNEY CITY | BULLHEAD CITY |
| AGENT ATTORNEY STATE | AZ |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 62111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 266,136.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | N/A |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 400,000.00 |
| LCA CASE WAGE RATE TO | 480,000.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | LAKE HAVASU CITY |
| WORKSITE COUNTY | MOHAVE |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 86403 |
