| LCA CASE NUMBER | I-200-21189-451535 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-08 |
| DECISION DATE | 2021-07-15 |
| 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 | 2021-07-23 |
| END DATE | 2024-07-22 |
| 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 | Martin's Point Health Care |
| EMPLOYER ADDRESS1 | 331 Veranda Street |
| EMPLOYER CITY | Portland |
| EMPLOYER STATE | ME |
| EMPLOYER POSTAL CODE | 4103 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12072536947 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Bonneson |
| EMPLOYER POC FIRST NAME | Melissa |
| EMPLOYER POC JOB TITLE | Provider Recruiter |
| EMPLOYER POC ADDRESS1 | 27 Northport Drive |
| EMPLOYER POC ADDRESS2 | PO BOX 9746 |
| EMPLOYER POC CITY | Portland |
| EMPLOYER POC STATE | ME |
| EMPLOYER POC POSTAL CODE | 4104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12072536947 |
| EMPLOYER POC EMAIL | melissa.bonneson@martinspoint.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Minervino |
| AGENT ATTORNEY FIRST NAME | Mary |
| AGENT ATTORNEY MIDDLE NAME | Kathleen |
| AGENT ATTORNEY ADDRESS1 | 254 Commercial Street |
| AGENT ATTORNEY CITY | Portland |
| AGENT ATTORNEY STATE | ME |
| AGENT ATTORNEY POSTAL CODE | 4101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12077911198 |
| AGENT ATTORNEY EMAIL ADDRESS | kminervino@pierceatwood.com |
| LAWFIRM NAME BUSINESS NAME | Pierce Atwood LLP |
| STATE OF HIGHEST COURT | ME |
| NAME OF HIGHEST STATE COURT | Maine Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 331 Veranda Street |
| LCA CASE WORKLOC1 CITY | Portland |
| WORKSITE COUNTY | PORTLAND CITY |
| LCA CASE WORKLOC1 STATE | ME |
| WORKSITE POSTAL CODE | 4103 |
| LCA CASE WAGE RATE FROM | 198711 |
| LCA CASE WAGE RATE TO | 209169 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 149178 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
