| LCA CASE NUMBER | I-200-20246-802498 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-09-02 |
| DECISION DATE | 2022-09-01 |
| ORIGINAL CERT DATE | 2020-09-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Obstetrician-Gynecologist |
| SOC CODE | 29-1064.00 |
| SOC TITLE | Obstetricians and Gynecologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| 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 | Ozarks Medical Center |
| EMPLOYER ADDRESS1 | 1100 Kentucky Ave |
| EMPLOYER CITY | West Plains |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 65775 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14172575993 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Thompson |
| EMPLOYER POC FIRST NAME | Lindsey |
| EMPLOYER POC MIDDLE NAME | B |
| EMPLOYER POC JOB TITLE | Physician Recruitment and Retention Manager |
| EMPLOYER POC ADDRESS1 | 1100 Kentucky Ave |
| EMPLOYER POC CITY | West Plains |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 65775 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14172575993 |
| EMPLOYER POC EMAIL | lindsey.b.thompson@ozarksmedicalcenter.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BRUNER |
| AGENT ATTORNEY FIRST NAME | Elise |
| AGENT ATTORNEY MIDDLE NAME | Rae |
| AGENT ATTORNEY ADDRESS1 | 5125 County Road 101 |
| AGENT ATTORNEY ADDRESS2 | Suite 106 |
| AGENT ATTORNEY CITY | Minnetonka |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55345 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19527972619 |
| AGENT ATTORNEY EMAIL ADDRESS | ebruner@brunerlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | BRUNER LAW GROUP, PLLC |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1627 Gibson St. |
| LCA CASE WORKLOC1 CITY | West Plains |
| WORKSITE COUNTY | HOWELL |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 65775 |
| LCA CASE WAGE RATE FROM | 323000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 109762 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
