| LCA CASE NUMBER | I-200-22027-857661 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-01-27 |
| DECISION DATE | 2022-02-03 |
| 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 | 2022-07-01 |
| END DATE | 2025-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Houlton Regional Hospital |
| EMPLOYER ADDRESS1 | 20 Hartford Street |
| EMPLOYER CITY | Houlton |
| EMPLOYER STATE | ME |
| EMPLOYER POSTAL CODE | 04730 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12075212560 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Anderson |
| EMPLOYER POC FIRST NAME | Shawn |
| EMPLOYER POC MIDDLE NAME | D. |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 20 Hartford Street |
| EMPLOYER POC CITY | Houlton |
| EMPLOYER POC STATE | ME |
| EMPLOYER POC POSTAL CODE | 04730 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12075212560 |
| EMPLOYER POC EMAIL | sanderson@hrhospital.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sivaraman |
| AGENT ATTORNEY FIRST NAME | Heather |
| AGENT ATTORNEY ADDRESS1 | PO Box 1317 |
| AGENT ATTORNEY CITY | Carrboro |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19196192119 |
| AGENT ATTORNEY EMAIL ADDRESS | heather@sivisalaw.com |
| LAWFIRM NAME BUSINESS NAME | Sivaraman Immigration Law |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 20 Hartford Street |
| LCA CASE WORKLOC1 CITY | Houlton |
| WORKSITE COUNTY | HOULTON TOWN |
| LCA CASE WORKLOC1 STATE | ME |
| WORKSITE POSTAL CODE | 04730 |
| LCA CASE WAGE RATE FROM | 224682 |
| LCA CASE WAGE RATE TO | 230000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 224682 |
| 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 |
