| LCA CASE NUMBER | I-200-20077-412808 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-17 |
| DECISION DATE | 2020-03-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Practice Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Nor Lea Hospital District |
| EMPLOYER ADDRESS1 | 1600 N. Main |
| EMPLOYER CITY | Lovington |
| EMPLOYER STATE | NM |
| EMPLOYER POSTAL CODE | 88260 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15753966611 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Shaw |
| EMPLOYER POC FIRST NAME | David |
| EMPLOYER POC JOB TITLE | CEO/Administrator |
| EMPLOYER POC ADDRESS1 | 1600 North Main |
| EMPLOYER POC CITY | Lovington |
| EMPLOYER POC STATE | NM |
| EMPLOYER POC POSTAL CODE | 88260 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15753966611 |
| EMPLOYER POC EMAIL | david.shaw@nlgh.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Akano |
| AGENT ATTORNEY FIRST NAME | Yolanda |
| AGENT ATTORNEY ADDRESS1 | 2305 Renard Place SE |
| AGENT ATTORNEY ADDRESS2 | Suite 110 |
| AGENT ATTORNEY CITY | Albuquerque |
| AGENT ATTORNEY STATE | NM |
| AGENT ATTORNEY POSTAL CODE | 87106 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15052668739.0 |
| AGENT ATTORNEY EMAIL ADDRESS | t.reardon@maneygordon.com |
| LAWFIRM NAME BUSINESS NAME | Maney Gordon Zeller PA |
| STATE OF HIGHEST COURT | MO |
| NAME OF HIGHEST STATE COURT | Supreme Court of Missouri |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1600 North Main |
| LCA CASE WORKLOC1 CITY | Lovington |
| WORKSITE COUNTY | LEA |
| LCA CASE WORKLOC1 STATE | NM |
| WORKSITE POSTAL CODE | 88260 |
| LCA CASE WAGE RATE FROM | 265000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| 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 | Reardon |
| PREPARER FIRST NAME | Timothy |
| PREPARER BUSINESS NAME | Maney Gordon Zeller PA |
| PREPARER EMAIL | t.reardon@maneygordon.com |
