| LCA CASE NUMBER | I-200-21012-007773 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-12 |
| DECISION DATE | 2021-01-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | HOSPITALIST |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PREVEA CLINIC, INC. |
| EMPLOYER ADDRESS1 | 2710 Executive Drive |
| EMPLOYER CITY | Green Bay |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54304 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18002363030 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | RAI |
| EMPLOYER POC FIRST NAME | ASHOK |
| EMPLOYER POC JOB TITLE | PRESIDENT & CEO |
| EMPLOYER POC ADDRESS 1 | 2710 Executive Drive |
| EMPLOYER POC CITY | Green Bay |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54304 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18002363030 |
| EMPLOYER POC EMAIL | dolly.willems@prevea.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Lacy |
| AGENT ATTORNEY FIRST NAME | Geoffrey |
| AGENT ATTORNEY MIDDLE NAME | Alan |
| AGENT ATTORNEY ADDRESS1 | 205 Doty St. |
| AGENT ATTORNEY ADDRESS2 | Suite 201 |
| AGENT ATTORNEY CITY | Green Bay |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 54301 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18448330824 |
| AGENT ATTORNEY EMAIL ADDRESS | glacy@strangpatteson.com |
| LAWFIRM NAME BUSINESS NAME | Strang, Patteson, Renning, Lewis & Lacy |
| STATE OF HIGHEST COURT | WI |
|
| NAME OF HIGHEST STATE COURT | Wisconsin Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1726 Shawano Avenue |
| LCA CASE WORKLOC1 CITY | Green Bay |
| WORKSITE COUNTY | BROWN |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54303 |
| LCA CASE WAGE RATE FROM | 225000 |
| LCA CASE WAGE RATE TO | 300000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | N/A... |
