| LCA CASE NUMBER | I-200-22168-292265 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-06-17 |
| DECISION DATE | 2022-06-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | False |
| 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 | Fairview Health Services |
| EMPLOYER ADDRESS1 | 2450 Riverside Avenue |
| EMPLOYER CITY | Minneapolis |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55454 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16126722563 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Beckstrom |
| EMPLOYER POC FIRST NAME | Lauren |
| EMPLOYER POC JOB TITLE | Provider Recruitment Manager |
| EMPLOYER POC ADDRESS1 | 1700 University Avenue W |
| EMPLOYER POC CITY | St. Paul |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16126722563 |
| EMPLOYER POC EMAIL | Lauren.Beckstrom@fairview.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Peterson |
| AGENT ATTORNEY FIRST NAME | Craig |
| AGENT ATTORNEY MIDDLE NAME | Jay |
| AGENT ATTORNEY ADDRESS1 | 3020 Woodbury Drive |
| AGENT ATTORNEY CITY | Woodbury |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55129 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123518091 |
| AGENT ATTORNEY EMAIL ADDRESS | craig@petersonimmigration.com |
| LAWFIRM NAME BUSINESS NAME | The Law Firm of Craig J Peterson L.L.C. |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 10000 Zane Avenue N |
| LCA CASE WORKLOC1 CITY | Brooklyn Park |
| WORKSITE COUNTY | HENNEPIN |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55443 |
| LCA CASE WAGE RATE FROM | 84.2 |
| LCA CASE WAGE RATE TO | 117 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 84.2 |
| PW UNIT OF PAY | Hour |
| 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 |
| PREPARER LAST NAME | Peterson |
| PREPARER FIRST NAME | Craig |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | The Law Firm of Craig J Peterson L.L.C. |
| PREPARER EMAIL | Craig@petersonimmmigration.com |
