| LCA CASE NUMBER | I-200-21006-997928 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-06 |
| DECISION DATE | 2021-01-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Physician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-24 |
| END DATE | 2024-05-23 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | District Medical Group, Inc |
| EMPLOYER ADDRESS1 | 2929 E. Thomas Road |
| EMPLOYER CITY | Phoenix |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85016 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16024705000 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Manning |
| EMPLOYER POC FIRST NAME | Scott |
| EMPLOYER POC MIDDLE NAME | M. |
| EMPLOYER POC JOB TITLE | Chief Human Resources Officer |
| EMPLOYER POC ADDRESS 1 | 2929 E. Thomas Road |
| EMPLOYER POC CITY | Phoenix |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85016 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16024705000 |
| EMPLOYER POC EMAIL | scott_manning@dmgaz.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Goldman |
| AGENT ATTORNEY FIRST NAME | Larissa |
| AGENT ATTORNEY ADDRESS1 | 5333 N. 7th Street |
| AGENT ATTORNEY ADDRESS2 | Suite C-225 |
| AGENT ATTORNEY CITY | Phoenix |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85014 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16026825881 |
| AGENT ATTORNEY EMAIL ADDRESS | larissa@ggoldmanlaw.com |
| LAWFIRM NAME BUSINESS NAME | Goldman and Goldman, PC |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Valleywise Health Family Health Clinic |
| WORKSITE ADDRESS1 | 8088 W. Whitney |
| LCA CASE WORKLOC1 CITY | Peoria |
| WORKSITE COUNTY | MARICOPA |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 85345 |
| LCA CASE WAGE RATE FROM | 179500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 147514 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
