| LCA CASE NUMBER | I-200-22040-888501 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-02-09 |
| DECISION DATE | 2022-02-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-07-01 |
| END DATE | 2025-06-30 |
| 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 | HealthSource of Ohio, Inc. |
| EMPLOYER ADDRESS1 | 424 Wards Corner Road |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Loveland |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 45140 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15135767700 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Martinez |
| EMPLOYER POC FIRST NAME | Amado |
| EMPLOYER POC JOB TITLE | Director, Human Resources/Clinician Recruitment |
| EMPLOYER POC ADDRESS1 | 424 Wards Corner Road |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | Loveland |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 45140 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15137074014 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jenkins |
| AGENT ATTORNEY FIRST NAME | Staci |
| AGENT ATTORNEY MIDDLE NAME | Marie |
| AGENT ATTORNEY ADDRESS1 | 312 Walnut Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2000 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133526734 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Thompson Hine LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 100 River Valley Blvd. |
| LCA CASE WORKLOC1 CITY | New Richmond |
| WORKSITE COUNTY | CLERMONT |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 45157 |
| LCA CASE WAGE RATE FROM | 180000 |
| LCA CASE WAGE RATE TO | 230000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 122845 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Direnzi |
| PREPARER FIRST NAME | Julie |
| PREPARER BUSINESS NAME | Thompson Hine, LLP |
| PREPARER EMAIL | [email protected] |
