| LCA CASE NUMBER | I-200-20281-865442 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-07 |
| DECISION DATE | 2020-10-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Emergency Medicine Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-01 |
| END DATE | 2023-12-31 |
| 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 | INDIANA UNIVERSITY HEALTH SOUTHERN INDIANA PHYSICIANS, LLC |
| EMPLOYER ADDRESS1 | 601 WEST SECOND STREET |
| EMPLOYER CITY | BLOOMINGTON |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47403 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18123539535 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Frye |
| EMPLOYER POC FIRST NAME | Angela |
| EMPLOYER POC JOB TITLE | HR Manager Physicians and Providers, PHR |
| EMPLOYER POC ADDRESS 1 | 701 W 1st Street |
| EMPLOYER POC CITY | Bloomington |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47403 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18123535776 |
| EMPLOYER POC EMAIL | afrye1@iuhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Fuschetto |
| AGENT ATTORNEY FIRST NAME | Joseph |
| AGENT ATTORNEY MIDDLE NAME | Rocco |
| AGENT ATTORNEY ADDRESS1 | PO Box 910 |
| AGENT ATTORNEY CITY | Bloomington |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 47402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18123329295 |
| AGENT ATTORNEY EMAIL ADDRESS | jrf@lawbr.com |
| LAWFIRM NAME BUSINESS NAME | Bunger and Robertson |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | INDIANA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2209 John R. Wooden Dr. |
| LCA CASE WORKLOC1 CITY | Martinsville |
| WORKSITE COUNTY | MORGAN |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46151 |
| LCA CASE WAGE RATE FROM | 200 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
