| LCA CASE NUMBER | I-200-16314-372046 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 11/10/2016 |
| DECISION DATE | 11/17/2016 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 12/12/2016 |
| EMPLOYMENT END DATE | 12/11/2019 |
| LCA CASE EMPLOYER NAME | INNOVIS HEALTH, LLC |
| EMPLOYER BUSINESS DBA | ESSENTIA HEALTH WEST |
| EMPLOYER ADDRESS | 1702 S UNIVERSITY DR |
| EMPLOYER CITY | FARGO |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58103 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7013648000 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | BRUNER, ELISE |
| AGENT ATTORNEY CITY | MINNETONKA |
| AGENT ATTORNEY STATE | MN |
| LCA CASE JOB TITLE | FAMILY MEDICINE PHYSICIAN |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 41,725.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 230,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | FOSSTON |
| WORKSITE COUNTY | POLK |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 56542 |
