| LCA CASE NUMBER | I-200-22131-161250 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-11 |
| DECISION DATE | 2022-05-18 |
| 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 | 2022-07-30 |
| END DATE | 2025-07-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Pediatric Partners, LLC |
| EMPLOYER ADDRESS1 | 750 E. 29th Street |
| EMPLOYER CITY | Fremont |
| EMPLOYER STATE | NE |
| EMPLOYER POSTAL CODE | 68025 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14027532900 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Busch-Bishop |
| EMPLOYER POC FIRST NAME | Jodie |
| EMPLOYER POC JOB TITLE | Office Manager |
| EMPLOYER POC ADDRESS1 | 750 E. 29th Street |
| EMPLOYER POC CITY | Fremont |
| EMPLOYER POC STATE | NE |
| EMPLOYER POC POSTAL CODE | 68025 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14027532900 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Grattan |
| AGENT ATTORNEY FIRST NAME | Stephanie |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 1125 South 103rd Street |
| AGENT ATTORNEY ADDRESS2 | Suite 800 |
| AGENT ATTORNEY CITY | Omaha |
| AGENT ATTORNEY STATE | NE |
| AGENT ATTORNEY POSTAL CODE | 68124 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14023433786 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Koley Jessen P.C., L.L.O. |
| STATE OF HIGHEST COURT | NE |
| NAME OF HIGHEST STATE COURT | Nebraska Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 750 E. 29th Street |
| LCA CASE WORKLOC1 CITY | Fremont |
| WORKSITE COUNTY | DODGE |
| LCA CASE WORKLOC1 STATE | NE |
| WORKSITE POSTAL CODE | 68025 |
| LCA CASE WAGE RATE FROM | 190000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 95077 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
