| LCA CASE NUMBER | I-200-21223-516593 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-11 |
| DECISION DATE | 2021-08-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Surgeon |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-27 |
| END DATE | 2022-08-26 |
| 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 | Valley View Physician Practices, LLC |
| EMPLOYER ADDRESS1 | 5300 S. Highway 95 |
| EMPLOYER ADDRESS2 | Suite D |
| EMPLOYER CITY | Fort Mohave |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 86426 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19287681200 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Matthews |
| EMPLOYER POC FIRST NAME | Mike |
| EMPLOYER POC JOB TITLE | Regional Vice President, Physician Services |
| EMPLOYER POC ADDRESS1 | 330 Seven Springs Way |
| EMPLOYER POC CITY | Brentwood |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37027 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16159207321 |
| EMPLOYER POC EMAIL | mike.matthews@lpnt.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Duong |
| AGENT ATTORNEY FIRST NAME | Hon-Vinh |
| AGENT ATTORNEY MIDDLE NAME | Quang |
| AGENT ATTORNEY ADDRESS1 | 511 Union Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2700 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16158508936 |
| AGENT ATTORNEY EMAIL ADDRESS | vinh.duong@wallerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Waller Lansden Dortch & Davis, LLP |
|
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5300 S. Highway 95 |
| WORKSITE ADDRESS2 | Suite D |
| LCA CASE WORKLOC1 CITY | Fort Mohave |
| WORKSITE COUNTY | MOHAVE |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 86426 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE TO | 400000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Burk (83803) |
| PREPARER FIRST NAME | Kelsey |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | Waller Lansden Dortch & Davis LLP |
| PREPARER EMAIL | kelsey.burk@wallerlaw.com |
