| LCA CASE NUMBER | I-200-24313-462722 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-11-08 |
| DECISION DATE | 2024-11-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1229 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-01-06 |
| END DATE | 2028-01-05 |
| 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 | Banner Medical Group |
| EMPLOYER ADDRESS1 | 2901 N. Central Ave. |
| EMPLOYER ADDRESS2 | Suite 160 |
| EMPLOYER CITY | Phoenix |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85012 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16027474000 |
| EMPLOYER FEIN | 90-0532830 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Yaqub |
| EMPLOYER POC FIRST NAME | Yusuf |
| EMPLOYER POC MIDDLE NAME | M. |
| EMPLOYER POC JOB TITLE | Director - HR Shared Services |
| EMPLOYER POC ADDRESS1 | 2901 N. Central Ave. |
| EMPLOYER POC ADDRESS2 | Suite 160 |
| EMPLOYER POC CITY | Phoenix |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85012 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16027474000 |
| EMPLOYER POC EMAIL | yusuf.yaqub@bannerhealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Martinez |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 2929 N. Central Ave. |
| AGENT ATTORNEY ADDRESS2 | Suite 1700 |
| AGENT ATTORNEY CITY | Phoenix |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85012 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16023851040 |
| AGENT ATTORNEY EMAIL ADDRESS | matthew.martinez@lewisbrisbois.com |
| LAWFIRM NAME BUSINESS NAME | Lewis Brisbois Bisgaard & Smith, LLP |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Arizona Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1300 S Country Club Drive Suite 3 |
| LCA CASE WORKLOC1 CITY | Mesa |
| WORKSITE COUNTY | MARICOPA |
| LCA CASE WORKLOC1 STATE | AZ |
| WORKSITE POSTAL CODE | 85210 |
| LCA CASE WAGE RATE FROM | 245000 |
| LCA CASE WAGE RATE TO | 275000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 233938 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| 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 | Lewis Brisbois Bisgaard & Smith, LLP |
| PREPARER EMAIL | matthew.martinez@lewisbrisbois.com |