| LCA CASE NUMBER | I-200-21147-349430 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-27 |
| DECISION DATE | 2021-06-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-07 |
| END DATE | 2024-09-06 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Indiana University Health Arnett, Inc. |
| EMPLOYER ADDRESS1 | 2550 Greenbush Street |
| EMPLOYER CITY | Lafayette |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47904 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17658384066 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Yoder |
| EMPLOYER POC FIRST NAME | Christine |
| EMPLOYER POC JOB TITLE | Manager of Physician and Provider HR Services |
| EMPLOYER POC ADDRESS 1 | 2550 Greenbush Street |
| EMPLOYER POC CITY | Lafayette |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47904 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17658384066 |
| EMPLOYER POC EMAIL | yoderkr@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 | 1 Walter Scholar Drive |
| LCA CASE WORKLOC1 CITY | Lafayette |
| WORKSITE COUNTY | TIPPECANOE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47905 |
| LCA CASE WAGE RATE FROM | 200000 |
| LCA CASE WAGE RATE TO | 275000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 73549 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
