| CASE NUMBER | I-200-23326-520124 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/22/2023 |
| DECISION DATE | 11/30/2023 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Neurologist |
| SOC CODE | 29-1217.00 |
| SOC TITLE | Neurologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/1/2024 |
| END DATE | 1/31/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | LHP Pocatello, LLC |
| TRADE NAME DBA | Portneuf Medical Center |
| EMPLOYER ADDRESS1 | 777 Hospital Way |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Pocatello |
| EMPLOYER STATE | ID |
| EMPLOYER POSTAL CODE | 83201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 1208239100 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Kimmel-Sanchez |
| EMPLOYER POC FIRST NAME | Amy |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director, Physician Recruitment |
| EMPLOYER POC ADDRESS1 | 777 Hospital Way |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Pocatello |
| EMPLOYER POC STATE | ID |
| EMPLOYER POC POSTAL CODE | 83201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12082392057 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | amy.kimmelsanchez@portmed.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Depret-Bixio |
| AGENT ATTORNEY FIRST NAME | Lee |
| AGENT ATTORNEY MIDDLE NAME | Gibbs |
| AGENT ATTORNEY ADDRESS1 | 2142 Boyce Street |
| AGENT ATTORNEY ADDRESS2 | Ste. 401 |
| AGENT ATTORNEY CITY | Columbia |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29201 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 18032521300 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | lee.depret-bixio@ogletreedeakins.com |
| LAWFIRM NAME BUSINESS NAME | Ogletree Deakins |
| STATE OF HIGHEST COURT | SC |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 777 Hospital Way |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Pocatello |
| WORKSITE COUNTY | BANNOCK |
| WORKSITE STATE | ID |
| WORKSITE POSTAL CODE | 83201 |
| WAGE RATE OF PAY FROM | 275000 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $380,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $183,810.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-02 |
