| CASE NUMBER | I-200-25030-653160 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/30/2025 |
| DECISION DATE | 2/6/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Hospitalist |
| SOC CODE | 29-1229.02 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/10/2025 |
| END DATE | 2/9/2028 |
| 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 | Apollo Hospitalists PLLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 1955 W. Baseline Road |
| EMPLOYER ADDRESS2 | 143-647 |
| EMPLOYER CITY | Mesa |
| EMPLOYER STATE | AZ |
| EMPLOYER POSTAL CODE | 85202 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14802097220 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Nirwan |
| EMPLOYER POC FIRST NAME | Ajaysingh |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Member |
| EMPLOYER POC ADDRESS1 | 1710 E Carver Rd |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Tempe |
| EMPLOYER POC STATE | AZ |
| EMPLOYER POC POSTAL CODE | 85284 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14802097220 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Ajay010170@yahoo.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Chesser |
| AGENT ATTORNEY FIRST NAME | Lori |
| AGENT ATTORNEY MIDDLE NAME | T. |
| AGENT ATTORNEY ADDRESS1 | 215 10th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1300 |
| AGENT ATTORNEY CITY | Des Moines |
| AGENT ATTORNEY STATE | IA |
| AGENT ATTORNEY POSTAL CODE | 50309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15152882500 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | lori.chesser@dentons.com |
| LAWFIRM NAME BUSINESS NAME | Dentons Davis Brown PC |
| STATE OF HIGHEST COURT | IA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Iowa |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Banner Desert Medical Center |
| WORKSITE ADDRESS1 | 1400 S Dobson Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Mesa |
| WORKSITE COUNTY | MARICOPA |
| WORKSITE STATE | AZ |
| WORKSITE POSTAL CODE | 85202 |
| WAGE RATE OF PAY FROM | $180,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $67,246.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 | Chesser |
| PREPARER FIRST NAME | Lori |
| PREPARER MIDDLE INITIAL | T |
| PREPARER BUSINESS NAME | Dentons Davis Brown PC |
| PREPARER EMAIL | emily.cox@dentons.com |
| BEGIN DATE CONVERTED | 2025-02-10 |
