\ H1B CASE NUMBER I-200-25211-210451



CASE NUNBER: I-200-25211-210451

LCA CASE NUMBERI-200-25211-210451
STATUSCertified
LCA CASE SUBMIT2025-07-30
DECISION DATE2025-08-06
VISA CLASSH-1B
LCA CASE JOB TITLEPrimary Care Physician
SOC CODE29-1229.00
SOC TITLEPhysicians, All Other
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2025-10-06
END DATE2028-10-05
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER1
AMENDED PETITION0
LCA CASE EMPLOYER NAMEBanner Medical Group
EMPLOYER ADDRESS12901 N. Central Avenue
EMPLOYER ADDRESS2Suite 160
EMPLOYER CITYPhoenix
EMPLOYER STATEAZ
EMPLOYER POSTAL CODE85012
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE16027474700
EMPLOYER FEIN90-0532830
NAICS CODE622110
EMPLOYER POC LAST NAMEYaqub
EMPLOYER POC FIRST NAMEYusuf
EMPLOYER POC MIDDLE NAMEM
EMPLOYER POC JOB TITLEDirector - HR Shared Services
EMPLOYER POC ADDRESS12901 N. Central Avenue
EMPLOYER POC ADDRESS2Suite 160
EMPLOYER POC CITYPhoenix
EMPLOYER POC STATEAZ
EMPLOYER POC POSTAL CODE85012
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE16027474000
EMPLOYER POC EMAILyusuf.yaqub@bannerhealth.com
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEMartinez
AGENT ATTORNEY FIRST NAMEMatthew
AGENT ATTORNEY MIDDLE NAMEJ.
AGENT ATTORNEY ADDRESS12929 N. Central Ave.
AGENT ATTORNEY ADDRESS2Suite #1700
AGENT ATTORNEY CITYPhoenix
AGENT ATTORNEY STATEAZ
AGENT ATTORNEY POSTAL CODE85012
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE16023851040
AGENT ATTORNEY EMAIL ADDRESSmatthew.martinez@lewisbrisbois.com
LAWFIRM NAME BUSINESS NAMELewis Brisbois Bisgaard & Smith, LLP
LAWFIRM BUSINESS FEIN95-3720522
STATE OF HIGHEST COURTAZ
NAME OF HIGHEST STATE COURTAZ Supreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS11300 S. Country Club Drive
WORKSITE ADDRESS2Ste. 3
LCA CASE WORKLOC1 CITYMesa
LCA CASE WORKLOC1 STATEAZ
WORKSITE POSTAL CODE85210
LCA CASE WAGE RATE FROM211000
LCA CASE WAGE RATE TO275000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE210142
PW UNIT OF PAYYear
PW WAGE LEVELIII
PW OES YEAR7/1/2025 - 6/30/2026
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEMartinez
PREPARER FIRST NAMEMatthew
PREPARER MIDDLE INITIALJ.
PREPARER BUSINESS NAMELewis Brisbois Bisgaard & Smith, LLP
PREPARER EMAILmatthew.martinez@lewisbrisbois.com