| LCA CASE NUMBER | I-200-22182-328154 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-07-01 |
| DECISION DATE | 2022-07-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-12-01 |
| END DATE | 2025-11-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Prevea Clinic, Inc. |
| EMPLOYER ADDRESS1 | 2710 Executive Dr. |
| EMPLOYER CITY | Green Bay |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54304 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18002363030 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Rai |
| EMPLOYER POC FIRST NAME | Ashok |
| EMPLOYER POC JOB TITLE | President & CEO |
| EMPLOYER POC ADDRESS1 | 2701 Executive Dr. |
| EMPLOYER POC CITY | Green Bay |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54304 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18002363030 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Lacy |
| AGENT ATTORNEY FIRST NAME | Callie |
| AGENT ATTORNEY MIDDLE NAME | Kidder |
| AGENT ATTORNEY ADDRESS1 | 205 Doty St. |
| AGENT ATTORNEY ADDRESS2 | Ste. 201 |
| AGENT ATTORNEY CITY | Green Bay |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 54301 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18448330831 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Renning, Lewis & Lacy |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Wisconsin Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1860 Shawano Ave. |
| LCA CASE WORKLOC1 CITY | Green Bay |
| WORKSITE COUNTY | BROWN |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54303 |
| LCA CASE WAGE RATE FROM | 240000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 206149 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
