| LCA CASE NUMBER | I-200-21181-437033 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-30 |
| DECISION DATE | 2021-07-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Nephrologist) |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-18 |
| END DATE | 2024-08-17 |
| 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 | Wyoming Medical Center, Inc. |
| EMPLOYER ADDRESS1 | 1233 E. 2nd St. |
| EMPLOYER CITY | Casper |
| EMPLOYER STATE | WY |
| EMPLOYER POSTAL CODE | 82601 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13075772745 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Blinkmann |
| EMPLOYER POC FIRST NAME | Alexandra |
| EMPLOYER POC JOB TITLE | Senior Provider Compensation Consultant |
| EMPLOYER POC ADDRESS1 | 1233 East 2nd St. |
| EMPLOYER POC CITY | Casper |
| EMPLOYER POC STATE | WY |
| EMPLOYER POC POSTAL CODE | 82601 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17122092460 |
| EMPLOYER POC EMAIL | Alexandra.Olesen@bannerhealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Martinez |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 1850 N. Central Ave. |
| AGENT ATTORNEY ADDRESS2 | Suite 1400 |
| AGENT ATTORNEY CITY | Phoenix |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85004 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16022855056 |
| AGENT ATTORNEY EMAIL ADDRESS | mmartinez@dickinson-wright.com |
| LAWFIRM NAME BUSINESS NAME | Dickinson Wright, PLLC |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | AZ Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 419 S. Washington St. |
| WORKSITE ADDRESS2 | Ste. 201/102 |
| LCA CASE WORKLOC1 CITY | Casper |
| WORKSITE COUNTY | NATRONA |
| LCA CASE WORKLOC1 STATE | WY |
| WORKSITE POSTAL CODE | 82601 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE TO | 156 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 7 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Martinez |
| PREPARER FIRST NAME | Matthew |
| PREPARER MIDDLE INITIAL | J. |
| PREPARER BUSINESS NAME | Dickinson Wright, PLLC |
| PREPARER EMAIL | mmartinez@dickinson-wright.com |
