| LCA CASE NUMBER | I-200-21207-483421 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-07-26 |
| DECISION DATE | 2023-09-20 |
| ORIGINAL CERT DATE | 2021-08-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nephrology and Hypertension Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-01 |
| END DATE | 2024-08-31 |
| 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 Clinic Fort Smith Communities |
| EMPLOYER ADDRESS1 | 2901 S. 74th St. |
| EMPLOYER CITY | Fort Smith |
| EMPLOYER STATE | AR |
| EMPLOYER POSTAL CODE | 72903 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14793147466 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | McCleary |
| EMPLOYER POC FIRST NAME | Sara |
| EMPLOYER POC JOB TITLE | Director, Physician Recruitment |
| EMPLOYER POC ADDRESS1 | 100 Mercy Way, Ste. 230 |
| EMPLOYER POC CITY | Joplin |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 64804 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14175568963 |
| EMPLOYER POC EMAIL | sara.mccleary@mercy.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ozmun |
| AGENT ATTORNEY FIRST NAME | Kristal |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 6435 |
| AGENT ATTORNEY CITY | Ithaca |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14851-6435 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16072734200 |
| AGENT ATTORNEY EMAIL ADDRESS | ko@millermayer.com |
| LAWFIRM NAME BUSINESS NAME | Miller Mayer, LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NY Court of Appeals |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 7303 Rogers Ave., Ste. 200 |
| LCA CASE WORKLOC1 CITY | Fort Smith |
| WORKSITE COUNTY | SEBASTIAN |
| LCA CASE WORKLOC1 STATE | AR |
| WORKSITE POSTAL CODE | 72903 |
| LCA CASE WAGE RATE FROM | 234832 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 234832 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
