| LCA CASE NUMBER | I-200-21152-359323 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-01 |
| DECISION DATE | 2021-06-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Med Physician / Hospitalist & Internal Med Chair |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-07 |
| END DATE | 2024-08-06 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Sanford Clinic North |
| EMPLOYER ADDRESS1 | 801 Broadway North |
| EMPLOYER CITY | Fargo |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58102 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17012342000 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Haeuszer |
| EMPLOYER POC FIRST NAME | Sandi |
| EMPLOYER POC JOB TITLE | Associate Corporate Counsel |
| EMPLOYER POC ADDRESS 1 | 1305 W. 18th Street |
| EMPLOYER POC CITY | Sioux Falls |
| EMPLOYER POC STATE | SD |
| EMPLOYER POC POSTAL CODE | 57105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16053126582 |
| EMPLOYER POC EMAIL | sandi.haeuszer@sanfordhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Medeiros |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Thomas |
| AGENT ATTORNEY ADDRESS1 | 250 Marquette Avenue South, Suite 800 |
| AGENT ATTORNEY ADDRESS2 | (25661-0177) |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123057500 |
| AGENT ATTORNEY EMAIL ADDRESS | jmedeiros@nilanjohnson.com |
| LAWFIRM NAME BUSINESS NAME | Nilan Johnson Lewis PA |
| STATE OF HIGHEST COURT | MN |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 801 Broadway North |
| LCA CASE WORKLOC1 CITY | Fargo |
| WORKSITE COUNTY | CASS |
| LCA CASE WORKLOC1 STATE | ND |
| WORKSITE POSTAL CODE | 58102 |
| LCA CASE WAGE RATE FROM | 329812 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 112050 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
