| LCA CASE NUMBER | I-200-22164-272465 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-06-13 |
| DECISION DATE | 2022-06-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Doctor (Primary Care) |
| 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 | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Universal Medical Services |
| TRADE NAME DBA | Axis Medical Center |
| EMPLOYER ADDRESS1 | 1801 Nicollet Avenue |
| EMPLOYER CITY | Minneapolis |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55403 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16124229665 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | James |
| EMPLOYER POC FIRST NAME | Theodore |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 1801 Nicollet Avenue |
| EMPLOYER POC CITY | Minneapolis |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55403 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16124229665 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Minear |
| AGENT ATTORNEY FIRST NAME | Jennifer |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | 1111 E. Main Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2100 |
| AGENT ATTORNEY CITY | Richmond |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 23219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18047753822 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | McCandlish Holton, PC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Axis Medical Center |
| WORKSITE ADDRESS2 | 1801 Nicollet Avenue |
| LCA CASE WORKLOC1 CITY | Minneapolis |
| WORKSITE COUNTY | HENNEPIN |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55403 |
| LCA CASE WAGE RATE FROM | 76 |
| LCA CASE WAGE RATE TO | 80 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 34.45 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| 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 |
| PREPARER LAST NAME | Uzzell |
| PREPARER FIRST NAME | John |
| PREPARER MIDDLE INITIAL | J. |
| PREPARER BUSINESS NAME | McCandlish Holton, PC |
| PREPARER EMAIL | [email protected] |
