| LCA CASE NUMBER | I-200-21132-306718 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-12 |
| DECISION DATE | 2021-05-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-18 |
| END DATE | 2024-09-17 |
| 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 | Tanner Memorial Clinic |
| TRADE NAME DBA | Tanner Clinic |
| EMPLOYER ADDRESS1 | 2121 North 1700 West |
| EMPLOYER CITY | Layton |
| EMPLOYER STATE | UT |
| EMPLOYER POSTAL CODE | 84041 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18017734840 |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Budge |
| EMPLOYER POC FIRST NAME | Brandi |
| EMPLOYER POC JOB TITLE | Executive Assistant |
| EMPLOYER POC ADDRESS 1 | 2121 North 1700 West |
| EMPLOYER POC CITY | Layton |
| EMPLOYER POC STATE | UT |
| EMPLOYER POC POSTAL CODE | 84041 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18017734840 |
| EMPLOYER POC EMAIL | brandi.budge@tannerclinic.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Yanovich |
| AGENT ATTORNEY FIRST NAME | Joel |
| AGENT ATTORNEY ADDRESS1 | 10451 Mill Run Circle |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Owings Mills |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 21117 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14103565440 |
| AGENT ATTORNEY EMAIL ADDRESS | sergioc@murthy.com |
| LAWFIRM NAME BUSINESS NAME | Murthy Law Firm |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Davis Hospital |
| WORKSITE ADDRESS1 | 1600 West Antelope Drive |
| LCA CASE WORKLOC1 CITY | Layton |
| WORKSITE COUNTY | DAVIS |
| LCA CASE WORKLOC1 STATE | UT |
| WORKSITE POSTAL CODE | 84041 |
| LCA CASE WAGE RATE FROM | 245800 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 162053 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
| PREPARER LAST NAME | Cardoza |
| PREPARER FIRST NAME | Sergio |
| PREPARER BUSINESS NAME | Murthy Law Firm |
| PREPARER EMAIL | sergioc@murthy.com |
