| LCA CASE NUMBER | I-200-20087-442063 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-27 |
| DECISION DATE | 2020-04-03 |
| 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 | 2020-06-01 |
| END DATE | 2023-05-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Neighborhood Health Association of Toledo |
| TRADE NAME DBA | Neighborhood Health Association |
| EMPLOYER ADDRESS1 | 313 JEFFERSON AVENUE |
| EMPLOYER CITY | TOLEDO |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43604 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14197207883 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Forney |
| EMPLOYER POC FIRST NAME | Wilson |
| EMPLOYER POC JOB TITLE | Recruitment Admin |
| EMPLOYER POC ADDRESS1 | 313 JEFFERSON AVENUE |
| EMPLOYER POC CITY | TOLEDO |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43604 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13127207883 |
| EMPLOYER POC EMAIL | WFORNEY@NHAINC.ORG |
| AGENT REPRESENTING EMPLOYER | N |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1415 JEFFERSON AVENUE |
| LCA CASE WORKLOC1 CITY | TOLEDO |
| WORKSITE COUNTY | LUCAS |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 43604 |
| LCA CASE WAGE RATE FROM | 200000.0 |
| LCA CASE WAGE RATE TO | 210000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 174907.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Pearson |
| PREPARER FIRST NAME | Jeffrey |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Pearson Associates |
| PREPARER EMAIL | jpearsonassociates@gmail.com |
