| LCA CASE NUMBER | I-200-21134-314675 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-14 |
| DECISION DATE | 2021-05-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-03 |
| END DATE | 2024-09-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | HENNEPIN HEALTHCARE SYSTEM, INC. |
| TRADE NAME DBA | HENNEPIN COUNTY MEDICAL CENTER (HCMC) |
| EMPLOYER ADDRESS1 | 701 PARK AVENUE SOUTH |
| EMPLOYER ADDRESS2 | 600 FRED SHAPIRO BUILDING |
| EMPLOYER CITY | MINNEAPOLIS |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55415-1676 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16128732740 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Tikkanen |
| EMPLOYER POC FIRST NAME | Cathy |
| EMPLOYER POC JOB TITLE | Senior Provider Recruiter, Lead |
| EMPLOYER POC ADDRESS 1 | 701 PARK AVENUE SOUTH |
| EMPLOYER POC ADDRESS 2 | 600 FRED SHAPIRO BUILDING |
| EMPLOYER POC CITY | MINNEAPOLIS |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55415 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16128732740 |
| 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 | 250 Marquette Avenue South, Suite 800 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123057500 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Nilan Johnson Lewis PA |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2810 Nicollet Avenue |
| LCA CASE WORKLOC1 CITY | Minneapolis |
| WORKSITE COUNTY | HENNEPIN |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55408 |
| LCA CASE WAGE RATE FROM | 205961.6 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 161054 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
