| LCA CASE NUMBER | I-200-20176-677986 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-24 |
| DECISION DATE | 2020-07-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| 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 | HealthONE Clinic Services Medical Specialties, LLC |
| EMPLOYER ADDRESS1 | 4900 S. Monaco Street |
| EMPLOYER ADDRESS2 | Suite 210 |
| EMPLOYER CITY | Denver |
| EMPLOYER STATE | CO |
| EMPLOYER POSTAL CODE | 80137 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13037882500 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Smitham |
| EMPLOYER POC FIRST NAME | Will |
| EMPLOYER POC JOB TITLE | Division Vice President |
| EMPLOYER POC ADDRESS1 | 4900 S. Monaco Street |
| EMPLOYER POC ADDRESS2 | Suite 210 |
| EMPLOYER POC CITY | Denver |
| EMPLOYER POC STATE | CO |
| EMPLOYER POC POSTAL CODE | 80137 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13037882500 |
| EMPLOYER POC EMAIL | erika.qvale@healthonecares.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Neal |
| AGENT ATTORNEY FIRST NAME | Sherry |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | 441 Vine Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3200 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133812011.0 |
| AGENT ATTORNEY EMAIL ADDRESS | sln@hammondlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Hammond Neal Moore, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 501 E. Hampden Avenue |
| LCA CASE WORKLOC1 CITY | Englewood |
| WORKSITE COUNTY | ARAPAHOE |
| LCA CASE WORKLOC1 STATE | CO |
| WORKSITE POSTAL CODE | 80113 |
| LCA CASE WAGE RATE FROM | 10467.69 |
| LCA CASE WAGE RATE UNIT | Bi-Weekly |
| PREVAILING WAGE | 8472.0 |
| PW UNIT OF PAY | Bi-Weekly |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Neal |
| PREPARER FIRST NAME | Sherry |
| PREPARER MIDDLE INITIAL | L. |
| PREPARER BUSINESS NAME | Hammond Neal Moore, LLC |
| PREPARER EMAIL | sln@hammondlawgroup.com |