| LCA CASE NUMBER | I-200-20084-430259 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-03-24 |
| DECISION DATE | 2021-08-03 |
| ORIGINAL CERT DATE | 2020-03-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Obstetrician/Gynecologist |
| SOC CODE | 29-1064.00 |
| SOC TITLE | Obstetricians and Gynecologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-07-27 |
| END DATE | 2023-07-26 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Great Plains Women's Health Center, P.C. |
| EMPLOYER ADDRESS1 | 1700 11th Street West |
| EMPLOYER CITY | Williston |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17017747687 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Tong |
| EMPLOYER POC FIRST NAME | Leland |
| EMPLOYER POC JOB TITLE | Practice Manager |
| EMPLOYER POC ADDRESS1 | 1700 11th Street West |
| EMPLOYER POC CITY | Williston |
| EMPLOYER POC STATE | ND |
| EMPLOYER POC POSTAL CODE | 58801 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17017747687 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Medeiros |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Thomas |
| AGENT ATTORNEY ADDRESS1 | 400 1st Avenue North, Suite 520 |
| AGENT ATTORNEY ADDRESS2 | (30735-005) |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123493062 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Myers Thompson Medeiros P.A. |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1700 11th Street West |
| LCA CASE WORKLOC1 CITY | Williston |
| WORKSITE COUNTY | WILLIAMS |
| LCA CASE WORKLOC1 STATE | ND |
| WORKSITE POSTAL CODE | 58801 |
| LCA CASE WAGE RATE FROM | 320000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
