| LCA CASE NUMBER | I-200-21168-408264 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-17 |
| DECISION DATE | 2021-06-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN (NEONATOLOGIST) |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | ONSITE MEDICAL PROVIDERS PC |
| EMPLOYER ADDRESS1 | 1000 HADDONFIELD BERLIN RD, SUITE 210 |
| EMPLOYER CITY | Voorhees |
| EMPLOYER STATE | NJ |
| EMPLOYER POSTAL CODE | 8043 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18567822212 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | BREUER |
| EMPLOYER POC FIRST NAME | Karen |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 1000 HADDONFIELD BERLIN RD, SUITE 210 |
| EMPLOYER POC CITY | Voorhees |
| EMPLOYER POC STATE | NJ |
| EMPLOYER POC POSTAL CODE | 08043 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18567822212 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | DSOUZA |
| AGENT ATTORNEY FIRST NAME | Gerard |
| AGENT ATTORNEY ADDRESS1 | 37267 CHESTER ROAD |
| AGENT ATTORNEY CITY | Avon |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44011 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12162272889 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Gerard D'Souza, Esq. |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF OHIO |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | UnityPoint Health Methodist Hospital |
| WORKSITE ADDRESS1 | 221 NE Glen Oak Avenue |
| LCA CASE WORKLOC1 CITY | Peoria |
| WORKSITE COUNTY | PEORIA |
| LCA CASE WORKLOC1 STATE | IL |
| WORKSITE POSTAL CODE | 61636 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
