| LCA CASE NUMBER | I-200-22095-039533 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-05 |
| DECISION DATE | 2022-04-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-04-05 |
| END DATE | 2025-04-03 |
| 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 | Saint Joseph Regional Medical Center, Inc. |
| TRADE NAME DBA | Marshall County Pediatric Physicians |
| EMPLOYER ADDRESS1 | 5215 Holy Cross Parkway |
| EMPLOYER CITY | Mishawaka |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46545 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15865041364 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | McNeil |
| EMPLOYER POC FIRST NAME | Ane |
| EMPLOYER POC JOB TITLE | Senior Vice President Human Resources |
| EMPLOYER POC ADDRESS1 | 5215 Holy Cross Parkway |
| EMPLOYER POC CITY | Mishawaka |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46545 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15865041364 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Miner |
| AGENT ATTORNEY FIRST NAME | Kevin |
| AGENT ATTORNEY MIDDLE NAME | William |
| AGENT ATTORNEY ADDRESS1 | 1355 Peachtree St. NE |
| AGENT ATTORNEY ADDRESS2 | Suite 900 [6289796] |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14048565577 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | FRAGOMEN, DEL REY, BERNSEN, & LOEWY, LLP |
| STATE OF HIGHEST COURT | NH |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1919 Lake Avenue |
| LCA CASE WORKLOC1 CITY | Plymouth |
| WORKSITE COUNTY | MARSHALL |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46563 |
| LCA CASE WAGE RATE FROM | 215842 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 215842 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
