| LCA CASE NUMBER | I-200-21146-345647 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-26 |
| DECISION DATE | 2021-06-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-30 |
| END DATE | 2024-06-29 |
| 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 | Mercy Health Physicians - North LLC |
| EMPLOYER ADDRESS1 | 2409 Cherry Street |
| EMPLOYER ADDRESS2 | MOB1 Suite 400 |
| EMPLOYER CITY | Toledo |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43608 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14192517634 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Montague |
| EMPLOYER POC FIRST NAME | Michele |
| EMPLOYER POC MIDDLE NAME | L |
| EMPLOYER POC JOB TITLE | VP and COO |
| EMPLOYER POC ADDRESS 1 | 2409 Cherry Street |
| EMPLOYER POC ADDRESS 2 | MOB1, 4th Floor |
| EMPLOYER POC CITY | Toledo |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43608 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14192517634 |
| EMPLOYER POC EMAIL | Michele_Montague@mercy.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jenkins |
| AGENT ATTORNEY FIRST NAME | Staci |
| AGENT ATTORNEY MIDDLE NAME | Marie |
| AGENT ATTORNEY ADDRESS1 | 312 Walnut Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2000 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15133526734 |
| AGENT ATTORNEY EMAIL ADDRESS | staci.jenkins@thompsonhine.com |
| LAWFIRM NAME BUSINESS NAME | Thompson Hine LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1103 Village Square |
| WORKSITE ADDRESS2 | Suite 100 |
| LCA CASE WORKLOC1 CITY | Perrysburg |
| WORKSITE COUNTY | WOOD |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 43551 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE TO | 253708 |
| 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 | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Perichon |
| PREPARER FIRST NAME | Rosemary |
| PREPARER BUSINESS NAME | Thompson Hine LLP |
| PREPARER EMAIL | rosemary.perichon@thompsonhine.com |
