| CASE NUMBER | I-200-24179-156371 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/27/2024 |
| DECISION DATE | 7/5/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Physician - Endocrinologist |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/4/2024 |
| END DATE | 7/29/2025 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | Carson Tahoe Physicians Clinics |
| TRADE NAME DBA | Carson Tahoe Medical Group |
| EMPLOYER ADDRESS1 | 2874 N. Carson St. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Carson City |
| EMPLOYER STATE | NV |
| EMPLOYER POSTAL CODE | 89706 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +17754458732 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Brown |
| EMPLOYER POC FIRST NAME | Jennifer |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director |
| EMPLOYER POC ADDRESS1 | 2874 N. Carson St. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Carson City |
| EMPLOYER POC STATE | NV |
| EMPLOYER POC POSTAL CODE | 89706 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +17754458732 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | jennifera.brown@carsontahoe.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Leibl |
| AGENT ATTORNEY FIRST NAME | Geoffrey |
| AGENT ATTORNEY MIDDLE NAME | D. |
| AGENT ATTORNEY ADDRESS1 | 12625 High Bluff Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 213 |
| AGENT ATTORNEY CITY | San Diego |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92130 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +18584815211 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | lorraine@usimmigrationlaw.net |
| LAWFIRM NAME BUSINESS NAME | Leibl and Kirkwood PC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1460 S Curry St. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Carson City |
| WORKSITE COUNTY | CARSON CITY |
| WORKSITE STATE | NV |
| WORKSITE POSTAL CODE | 89703 |
| WAGE RATE OF PAY FROM | 240,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $222,248.00 |
| 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 | Chiwai |
| PREPARER FIRST NAME | Lorraine |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Leibl and Kirkwood PC |
| PREPARER EMAIL | lorraine@usimmigrationlaw.net |
| BEGIN DATE CONVERTED | 2024-04-07 |
