| LCA CASE NUMBER | I-200-17030-080153 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 1/31/2017 |
| DECISION DATE | 2/6/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2/19/2017 |
| EMPLOYMENT END DATE | 2/18/2020 |
| LCA CASE EMPLOYER NAME | PREVEA CLINIC, INC. |
| EMPLOYER ADDRESS | 2710 EXECUTIVE DRIVE |
| EMPLOYER CITY | GREEN BAY |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54304 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8002363030 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | LACY, GEOFFREY |
| AGENT ATTORNEY CITY | GREEN BAY |
| AGENT ATTORNEY STATE | WI |
| LCA CASE JOB TITLE | NEPHROLOGIST |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 216,133.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level IV |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 300,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | SHEBOYGAN |
| WORKSITE COUNTY | SHEBOYGAN |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53081 |
