| LCA CASE NUMBER | I-200-22095-037916 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-05 |
| DECISION DATE | 2022-04-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Vascular Surgeon |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-04-11 |
| END DATE | 2025-04-10 |
| 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 | MERCY CLINIC SPRINGFIELD COMMUNITIES |
| EMPLOYER ADDRESS1 | 1965 S. Fremont Ave. |
| EMPLOYER ADDRESS2 | Ste. 200 |
| EMPLOYER CITY | Springfield |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 65804 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13145251595 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Martin |
| EMPLOYER POC FIRST NAME | Barb |
| EMPLOYER POC JOB TITLE | Director - Talent Selection |
| EMPLOYER POC ADDRESS1 | 14528 S. Outer 40 Rd. |
| EMPLOYER POC ADDRESS2 | Ste. 100 |
| EMPLOYER POC CITY | Chesterfield |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 63017 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13145251595 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ozmun |
| AGENT ATTORNEY FIRST NAME | Kristal |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 6435 |
| AGENT ATTORNEY CITY | Ithaca |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14851 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16072734200 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Miller Mayer, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NY Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1965 S. Fremont Ave. |
| WORKSITE ADDRESS2 | Suite 200 |
| LCA CASE WORKLOC1 CITY | Springfield |
| WORKSITE COUNTY | GREENE |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 65804 |
| LCA CASE WAGE RATE FROM | 114.5 |
| LCA CASE WAGE RATE TO | 123.33 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| 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 | Ozmun |
| PREPARER FIRST NAME | Kristal |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Miller Mayer LLP |
| PREPARER EMAIL | [email protected] |
