| LCA CASE NUMBER | I-200-20221-758618 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-07 |
| DECISION DATE | 2020-08-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Resident Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-25 |
| END DATE | 2021-08-24 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Center for Family Medicine |
| EMPLOYER ADDRESS1 | 1115 East 20th Street |
| EMPLOYER CITY | Sioux Falls |
| EMPLOYER STATE | SD |
| EMPLOYER POSTAL CODE | 57105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16053391783 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Huntington |
| EMPLOYER POC FIRST NAME | Mark |
| EMPLOYER POC MIDDLE NAME | K |
| EMPLOYER POC JOB TITLE | Director |
| EMPLOYER POC ADDRESS1 | 1115 East 20th Street |
| EMPLOYER POC CITY | Sioux Falls |
| EMPLOYER POC STATE | SD |
| EMPLOYER POC POSTAL CODE | 57105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16058387566 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Nichols |
| AGENT ATTORNEY FIRST NAME | Samira |
| AGENT ATTORNEY ADDRESS1 | POBOX 9 |
| AGENT ATTORNEY CITY | Gallatin |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37066 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16154738812.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Office of Samira Nichols |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1115 East 20th Street |
| LCA CASE WORKLOC1 CITY | Sioux Falls |
| WORKSITE COUNTY | MINNEHAHA |
| LCA CASE WORKLOC1 STATE | SD |
| WORKSITE POSTAL CODE | 57105 |
| LCA CASE WAGE RATE FROM | 61500.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 58261.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Nichols |
| PREPARER FIRST NAME | Samira |
| PREPARER BUSINESS NAME | Law Office of Samira Nichols |
| PREPARER EMAIL | [email protected] |
