| LCA CASE NUMBER | I-200-20011-247218 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-01-10 |
| DECISION DATE | 2020-01-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician, Family Medicine |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-06-21 |
| END DATE | 2023-06-21 |
| 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 | 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 | 16126726000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Beckstrom |
| EMPLOYER POC FIRST NAME | Lauren |
| EMPLOYER POC JOB TITLE | Physician Recruiter |
| EMPLOYER POC ADDRESS1 | 1700 University Avenue West |
| EMPLOYER POC CITY | St. Paul |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16126722285 |
| EMPLOYER POC EMAIL | LBecks1@fairview.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Peterson |
| AGENT ATTORNEY FIRST NAME | Craig |
| AGENT ATTORNEY ADDRESS1 | 980 Inwood Ave N |
| AGENT ATTORNEY CITY | Oakdale |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55128 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123518091.0 |
| 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 | Minnesota Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 290 Main Street NW |
| LCA CASE WORKLOC1 CITY | Elk River |
| WORKSITE COUNTY | SHERBURNE |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55330 |
| LCA CASE WAGE RATE FROM | 127.35 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 34.98 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Peterson |
| PREPARER FIRST NAME | Craig |
| PREPARER BUSINESS NAME | The Law Firm of Craig J. Peterson L.L.C. |
| PREPARER EMAIL | craig@petersonimmigration.com |
