| LCA CASE NUMBER | I-200-21279-627224 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-06 |
| DECISION DATE | 2021-10-14 |
| 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 | 2021-10-16 |
| END DATE | 2024-10-15 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Mercy Clinic Springfield Communities |
| EMPLOYER ADDRESS1 | 1965 S. Fremont Ave. |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Springfield |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 65804 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14178206650 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | McCleary |
| EMPLOYER POC FIRST NAME | Sara |
| EMPLOYER POC JOB TITLE | Director of Provider Recruitment |
| EMPLOYER POC ADDRESS1 | 1965 S. Fremont Ave. |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | Springfield |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 65804 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14175568963 |
| EMPLOYER POC EMAIL | sara.mccleary@mercy.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ozmun |
| AGENT ATTORNEY FIRST NAME | Kristal |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 6435 |
| AGENT ATTORNEY CITY | Ithaca |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14851 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16072734200 |
| AGENT ATTORNEY EMAIL ADDRESS | ko@millermayer.com |
| LAWFIRM NAME BUSINESS NAME | Miller Mayer, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NY Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 940 W. Mt. Vernon St. |
| WORKSITE ADDRESS2 | Suite 220 |
| LCA CASE WORKLOC1 CITY | Nixa |
| WORKSITE COUNTY | CHRISTIAN |
| LCA CASE WORKLOC1 STATE | MO |
| WORKSITE POSTAL CODE | 65714 |
| LCA CASE WAGE RATE FROM | 170206 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 170206 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
