| LCA CASE NUMBER | I-200-20217-750052 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-04 |
| DECISION DATE | 2020-08-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Health Center Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-11-01 |
| END DATE | 2023-10-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | HealthNet Inc., an affiliate of IU Health |
| TRADE NAME DBA | HealthNet Inc. (IU Health) |
| EMPLOYER ADDRESS1 | 3403 E Raymond St |
| EMPLOYER CITY | Indianapolis |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46203 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13179572000 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Reifenberg |
| EMPLOYER POC FIRST NAME | Rick |
| EMPLOYER POC JOB TITLE | Chief Medical Officer |
| EMPLOYER POC ADDRESS1 | 3403 East Raymond St |
| EMPLOYER POC CITY | Indianapolis |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46203 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13179572028 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Schneider |
| AGENT ATTORNEY FIRST NAME | Debra |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 200 South 6th Street |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16124927214.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fredrikson & Byron PA |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2340 East 10th Street |
| LCA CASE WORKLOC1 CITY | Indianapolis |
| WORKSITE COUNTY | MARION |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46201 |
| LCA CASE WAGE RATE FROM | 100.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100.0 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
