| CASE NUMBER | I-200-24121-940114 |
| CASE STATUS | Certified |
| RECEIVED DATE | 4/30/2024 |
| DECISION DATE | 5/7/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Physician |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/13/2024 |
| END DATE | 7/16/2024 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Infectious Disease Associates PLLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 3501 NW 50th Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Oklahoma City |
| EMPLOYER STATE | OK |
| EMPLOYER POSTAL CODE | 73112 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 16464986572 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Siddique |
| EMPLOYER POC FIRST NAME | Bushra |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Consultant Physician & President |
| EMPLOYER POC ADDRESS1 | 3501 NW 59th St |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Oklahoma City |
| EMPLOYER POC STATE | OK |
| EMPLOYER POC POSTAL CODE | 73112 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16464986572 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | drbushrasiddique@yahoo.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Stump |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | D. |
| AGENT ATTORNEY ADDRESS1 | 301 NW 63rd Street |
| AGENT ATTORNEY ADDRESS2 | Suite 250 |
| AGENT ATTORNEY CITY | Oklahoma City |
| AGENT ATTORNEY STATE | OK |
| AGENT ATTORNEY POSTAL CODE | 73116 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 14058790800 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | mstump@usvisagroup.com |
| LAWFIRM NAME BUSINESS NAME | Matthew D. Stump, P.C. |
| STATE OF HIGHEST COURT | OK |
| NAME OF HIGHEST STATE COURT | Oklahoma Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3501 NW 50th ST |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Oklahoma City |
| WORKSITE COUNTY | OKLAHOMA |
| WORKSITE STATE | OK |
| WORKSITE POSTAL CODE | 73112 |
| WAGE RATE OF PAY FROM | 92802 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $250,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $92,082.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 3 |
| 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 | Stump |
| PREPARER FIRST NAME | Matthew |
| PREPARER MIDDLE INITIAL | D. |
| PREPARER BUSINESS NAME | Matthew D. Stump, P.C. |
| PREPARER EMAIL | mstump@usvisagroup.com |
| BEGIN DATE CONVERTED | 2025-01-07 |
