| LCA CASE NUMBER | I-200-20014-252818 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-01-14 |
| DECISION DATE | 2020-01-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-02-01 |
| END DATE | 2023-01-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Shenandoah Medical Center |
| EMPLOYER ADDRESS1 | 300 Pershing Avenue |
| EMPLOYER CITY | Shenandoah |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 51601 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17122461230 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Royal |
| EMPLOYER POC FIRST NAME | Keli |
| EMPLOYER POC JOB TITLE | Chief Human Resource Officer |
| EMPLOYER POC ADDRESS1 | 300 Pershing Avenue |
| EMPLOYER POC CITY | Shenandoah |
| EMPLOYER POC STATE | IA |
| EMPLOYER POC POSTAL CODE | 51601 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17122467102 |
| EMPLOYER POC EMAIL | kroyal@smchospital.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Duong |
| AGENT ATTORNEY FIRST NAME | Hon-Vinh |
| AGENT ATTORNEY MIDDLE NAME | Quang |
| AGENT ATTORNEY ADDRESS1 | 511 Union Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2700 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16158508936.0 |
| AGENT ATTORNEY EMAIL ADDRESS | Vinh.Duong@wallerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Waller Lansden Dortch & Davis, LLP |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 300 Pershing Avenue |
| LCA CASE WORKLOC1 CITY | Shenandoah |
| WORKSITE COUNTY | PAGE |
| LCA CASE WORKLOC1 STATE | IA |
| WORKSITE POSTAL CODE | 51601 |
| LCA CASE WAGE RATE FROM | 88.49 |
| LCA CASE WAGE RATE TO | 180.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 88.49 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kim (44896) |
| PREPARER FIRST NAME | Hannah |
| PREPARER BUSINESS NAME | Waller Lansden Dortch & Davis, LLP |
| PREPARER EMAIL | Hannah.Kim@wallerlaw.com |
