| LCA CASE NUMBER | I-200-20129-555091 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-08 |
| DECISION DATE | 2020-05-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | La Casa Buena de Salud |
| TRADE NAME DBA | La Casa Family Health Center |
| EMPLOYER ADDRESS1 | 1515 W. Fir Street |
| EMPLOYER CITY | PORTALES |
| EMPLOYER STATE | NM |
| EMPLOYER POSTAL CODE | 88130 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15753593819 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Luscombe |
| EMPLOYER POC FIRST NAME | Amy |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 1515 W. Fir |
| EMPLOYER POC CITY | Portales |
| EMPLOYER POC STATE | NM |
| EMPLOYER POC POSTAL CODE | 88130 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15753593819 |
| EMPLOYER POC EMAIL | aluscombe@lacasahealth.com |
| 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 | Missouri Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1511 S. Grand Ave |
| LCA CASE WORKLOC1 CITY | Roswell |
| WORKSITE COUNTY | CHAVES |
| LCA CASE WORKLOC1 STATE | NM |
| WORKSITE POSTAL CODE | 88203 |
| LCA CASE WAGE RATE FROM | 300000.0 |
| 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 |
| 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 |
