| LCA CASE NUMBER | I-200-20107-492956 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-16 |
| DECISION DATE | 2020-04-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Hospitalist) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| 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 | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC. |
| EMPLOYER ADDRESS1 | 2301 N. LAKE DRIVE |
| EMPLOYER CITY | MILWAUKEE |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53211 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14144653797 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | O'CONNELL |
| EMPLOYER POC FIRST NAME | LESLEY |
| EMPLOYER POC JOB TITLE | DIRECTOR OF PROVIDER RECRUITMENT |
| EMPLOYER POC ADDRESS1 | 400 W. RIVER WOODS PARKWAY |
| EMPLOYER POC CITY | GLENDALE |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53212 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14144653797 |
| EMPLOYER POC EMAIL | LESLEY.OCONNELL@ASCENSION.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | KIM |
| AGENT ATTORNEY FIRST NAME | MICHAEL |
| AGENT ATTORNEY MIDDLE NAME | LEE |
| AGENT ATTORNEY ADDRESS1 | 500 NORTH MERIDIAN STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 400 |
| AGENT ATTORNEY CITY | INDIANAPOLIS |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46204 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13179771418.0 |
| AGENT ATTORNEY EMAIL ADDRESS | GSHELTON@HALLRENDER.COM |
| LAWFIRM NAME BUSINESS NAME | HALL, RENDER, KILLIAN, HEATH & LYMAN, PC |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2301 N. Lake Drive |
| LCA CASE WORKLOC1 CITY | Milwaukee |
| WORKSITE COUNTY | MILWAUKEE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53211 |
| LCA CASE WAGE RATE FROM | 278428.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 169416.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
