| LCA CASE NUMBER | I-200-21006-998816 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-06 |
| DECISION DATE | 2021-01-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Hospitalist) |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-03-09 |
| END DATE | 2024-03-08 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | ASCENSION MEDICAL GROUP - NORTHERN WISCONSIN, INC. |
| EMPLOYER ADDRESS1 | 400 W. RIVER WOODS PARKWAY |
| EMPLOYER CITY | GLENDALE |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53212 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14144653797 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | O'Connell |
| EMPLOYER POC FIRST NAME | Lesley |
| EMPLOYER POC JOB TITLE | Director of Provider Recruitment |
| EMPLOYER POC ADDRESS 1 | 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 | True |
| 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 |
| 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 | True |
| SECONDARY ENTITY BUSINESS NAME | Ascension SE Wisconsin Hospital - Elmbrook Campus |
| WORKSITE ADDRESS1 | 19333 W North Ave |
| LCA CASE WORKLOC1 CITY | Brookfield |
| WORKSITE COUNTY | WAUKESHA |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53045 |
| LCA CASE WAGE RATE FROM | 145.57 |
| LCA CASE WAGE RATE TO | 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 | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
