| LCA CASE NUMBER | I-200-21091-192157 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-01 |
| DECISION DATE | 2021-04-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Cardiology Staff Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-04-14 |
| END DATE | 2024-04-13 |
| 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 | Clement J. Zablocki Veterans Affairs Medical Center |
| EMPLOYER ADDRESS1 | 5000 W. National Ave. |
| EMPLOYER CITY | Milwaukee |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 53295 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | WI |
| EMPLOYER PHONE | 14143842000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Zomchek |
| EMPLOYER POC FIRST NAME | Daniel |
| EMPLOYER POC MIDDLE NAME | S |
| EMPLOYER POC JOB TITLE | Medical Center Director |
| EMPLOYER POC ADDRESS 1 | 5000 W. National Ave. |
| EMPLOYER POC CITY | Milwaukee |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 53295 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14143842000 |
| EMPLOYER POC PHONE EXT | 4102 |
| EMPLOYER POC EMAIL | daniel.zomchek@va.gov |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5000 W. National Ave. |
| LCA CASE WORKLOC1 CITY | Milwaukee |
| WORKSITE COUNTY | MILWAUKEE |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 53295 |
| LCA CASE WAGE RATE FROM | 139.46 |
| 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 |
| PREPARER LAST NAME | Chenhalls |
| PREPARER FIRST NAME | Kelley |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Chenhalls Nissen, S.C. |
| PREPARER EMAIL | kchenhalls@cnvisalaw.com |
