| LCA CASE NUMBER | I-200-20076-410590 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-16 |
| DECISION DATE | 2020-03-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | COLUMBUS REGIONAL HOSPITAL |
| EMPLOYER ADDRESS1 | 2400 E 17TH STREET |
| EMPLOYER CITY | COLUMBUS |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | INDIANA |
| EMPLOYER PHONE | 18123794441 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Kirk |
| EMPLOYER POC FIRST NAME | Lindy |
| EMPLOYER POC JOB TITLE | Director of Physician Recruitment & Retention |
| EMPLOYER POC ADDRESS1 | 2400 E 17TH STREET |
| EMPLOYER POC CITY | COLUMBUS |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18123765086 |
| EMPLOYER POC EMAIL | LKIRK@CRH.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Brown |
| AGENT ATTORNEY FIRST NAME | Jenifer |
| AGENT ATTORNEY MIDDLE NAME | Marie |
| AGENT ATTORNEY ADDRESS1 | One American Square |
| AGENT ATTORNEY ADDRESS2 | Suite 2900 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46282 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13172362242.0 |
| AGENT ATTORNEY EMAIL ADDRESS | dickson@icemiller.com |
| LAWFIRM NAME BUSINESS NAME | Ice Miller LLP |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Indiana Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2400 East 17th Street |
| LCA CASE WORKLOC1 CITY | Columbus |
| WORKSITE COUNTY | BARTHOLOMEW |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47201 |
| LCA CASE WAGE RATE FROM | 250000.0 |
| LCA CASE WAGE RATE TO | 350000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 236434.0 |
| PW UNIT OF PAY | Year |
| 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 |
