| LCA CASE NUMBER | I-200-21362-788875 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-28 |
| DECISION DATE | 2022-01-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-20 |
| END DATE | 2025-01-19 |
| 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 | Durant HMA Physician Management, LLC |
| EMPLOYER ADDRESS1 | 1400 Bryan Drive |
| EMPLOYER CITY | Durant |
| EMPLOYER STATE | OK |
| EMPLOYER POSTAL CODE | 74701 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15809319404 |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Samrow |
| EMPLOYER POC FIRST NAME | Kevin |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 1800 West University Blvd. |
| EMPLOYER POC CITY | Durant |
| EMPLOYER POC STATE | OK |
| EMPLOYER POC POSTAL CODE | 74701 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15809243080 |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Schieck |
| AGENT ATTORNEY FIRST NAME | Glenn |
| AGENT ATTORNEY MIDDLE NAME | R |
| AGENT ATTORNEY ADDRESS1 | 1600 Bausch & Lomb Place |
| AGENT ATTORNEY CITY | Rochester |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15852311326 |
| AGENT ATTORNEY EMAIL ADDRESS | gschieck@hselaw.com |
| LAWFIRM NAME BUSINESS NAME | Harter Secrest & Emery LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Court of Appeals |
| WORKSITE WORKERS | 1 |
|
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1800 W. University Boulevard |
| LCA CASE WORKLOC1 CITY | Durant |
| WORKSITE COUNTY | BRYAN |
| LCA CASE WORKLOC1 STATE | OK |
| WORKSITE POSTAL CODE | 74701 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE TO | 258000 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | Not applicable |
