| LCA CASE NUMBER | I-200-21167-404094 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-16 |
| DECISION DATE | 2021-06-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician Internal Medicine (20012.4551.2) |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-05 |
| END DATE | 2024-09-04 |
| 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 | The Everett Clinic, PLLC |
| EMPLOYER ADDRESS1 | 11000 Optum Circle |
| EMPLOYER CITY | Eden Prairie |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55344 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19529361616 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | McDonnell, Priebe |
| EMPLOYER POC FIRST NAME | Ciaran, Jennifer |
| EMPLOYER POC JOB TITLE | Immigration Team Leaders |
| EMPLOYER POC ADDRESS 1 | 9900 Bren Road East |
| EMPLOYER POC CITY | Minnetonka |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55343 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19529361616 |
| EMPLOYER POC EMAIL | ciaran_mcdonnell@uhg.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Barnes |
| AGENT ATTORNEY FIRST NAME | Ingrid |
| AGENT ATTORNEY MIDDLE NAME | Kessinger |
| AGENT ATTORNEY ADDRESS1 | 2400 N Glenville Dr, Building A |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Richardson |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75082 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14695052608 |
| AGENT ATTORNEY EMAIL ADDRESS | rmedinarios@balglobal.com |
| LAWFIRM NAME BUSINESS NAME | Berry Appleman & Leiden LLP |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 8910 Vernon Road |
| LCA CASE WORKLOC1 CITY | Lake Stevens |
| WORKSITE COUNTY | SNOHOMISH |
| LCA CASE WORKLOC1 STATE | WA |
| WORKSITE POSTAL CODE | 98258 |
| LCA CASE WAGE RATE FROM | 300846 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 258544 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 | Medina-Rios |
| PREPARER FIRST NAME | Rachel |
| PREPARER BUSINESS NAME | Berry Appleman & Leiden LLP |
| PREPARER EMAIL | rmedinarios@balglobal.com |
