| LCA CASE NUMBER | I-200-23061-818876 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-03-02 |
| DECISION DATE | 2023-03-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-16 |
| END DATE | 2026-07-15 |
| 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 | Mercy Clinic Springfield Communities |
| EMPLOYER ADDRESS1 | 1965 S Fremont Avenue |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Springfield |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 65804 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14178204515 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Martin |
| EMPLOYER POC FIRST NAME | Barb |
| EMPLOYER POC JOB TITLE | Director – Talent Selection |
| EMPLOYER POC ADDRESS1 | 645 Maryville Center |
| EMPLOYER POC CITY | St. Louis |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 63141 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13145251595 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Moody |
| AGENT ATTORNEY FIRST NAME | Meghan |
| AGENT ATTORNEY ADDRESS1 | 1028 Oakhaven Road |
| AGENT ATTORNEY CITY | Memphis |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 38119 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19016826455 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Siskind Susser, PC |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 120 Hospital Drive |
| WORKSITE ADDRESS2 | Suite 300 |
| LCA CASE WORKLOC1 CITY | Lebanon |
| WORKSITE COUNTY | LACLEDE |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 65536 |
| LCA CASE WAGE RATE FROM | 340066 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| 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 |
| PREPARER LAST NAME | Moran |
| PREPARER FIRST NAME | Jacqueline |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Siskind Susser PC |
| PREPARER EMAIL | [email protected] |
