| LCA CASE NUMBER | I-200-22087-014379 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-03-28 |
| DECISION DATE | 2022-04-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician Interventional Cardiologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-06-30 |
| END DATE | 2025-06-29 |
| 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 | Physicians Clinic, Inc. |
| TRADE NAME DBA | Methodist Physicians Clinic |
| EMPLOYER ADDRESS1 | 825 S. 169th Street |
| EMPLOYER CITY | Omaha |
| EMPLOYER STATE | NE |
| EMPLOYER POSTAL CODE | 68118 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14023544000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Charron |
| EMPLOYER POC FIRST NAME | Keri |
| EMPLOYER POC MIDDLE NAME | n/m/n |
| EMPLOYER POC JOB TITLE | Senior Director, Physician Services |
| EMPLOYER POC ADDRESS1 | 825 S. 169th Street |
| EMPLOYER POC CITY | Omaha |
| EMPLOYER POC STATE | NE |
| EMPLOYER POC POSTAL CODE | 68118 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14023545602 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Stockdale |
| AGENT ATTORNEY FIRST NAME | Kara |
| AGENT ATTORNEY MIDDLE NAME | Elizabeth |
| AGENT ATTORNEY ADDRESS1 | 1700 Farnam Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1500 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68102 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023445000 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Baird Holm LLP |
| STATE OF HIGHEST COURT | NE |
| NAME OF HIGHEST STATE COURT | Nebraska Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Physicians Clinic, Inc., d/b/a Methodist Physicians Clinic |
| WORKSITE ADDRESS2 | 2540 North Healthy Way |
| LCA CASE WORKLOC1 CITY | Fremont |
| WORKSITE COUNTY | DODGE |
| LCA CASE WORKLOC1 STATE | NE |
| WORKSITE POSTAL CODE | 68025 |
| LCA CASE WAGE RATE FROM | 600000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Stockdale |
| PREPARER FIRST NAME | Kara |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Baird Holm LLP |
| PREPARER EMAIL | [email protected] |
