| LCA CASE NUMBER | I-200-21229-528292 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-17 |
| DECISION DATE | 2021-08-24 |
| 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 | 2021-09-20 |
| END DATE | 2024-09-19 |
| 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 | University Primary Care Practices Inc. |
| TRADE NAME DBA | University Hospitals Medical Practices |
| EMPLOYER ADDRESS1 | 11100 EUCLID AVENUE |
| EMPLOYER CITY | CLEVELAND |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44106 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | Ohio |
| EMPLOYER PHONE | 12168443820 |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Mansour |
| EMPLOYER POC FIRST NAME | Lisa |
| EMPLOYER POC JOB TITLE | Coordinator, Physician Services |
| EMPLOYER POC ADDRESS1 | 3605 Warrensville Center Road |
| EMPLOYER POC CITY | Shaker Heights |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44122 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12169831028 |
| EMPLOYER POC EMAIL | lisa.mansour@uhhospitals.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jolic |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 6050 Oak Tree Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 250 |
| AGENT ATTORNEY CITY | Independence |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44131 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12163289878 |
| AGENT ATTORNEY PHONE EXT | 107 |
| AGENT ATTORNEY EMAIL ADDRESS | michael@mjbimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Martin Jolic and Bratton, LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1025 Center Street |
| LCA CASE WORKLOC1 CITY | Ashland |
| WORKSITE COUNTY | ASHLAND |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44805 |
| LCA CASE WAGE RATE FROM | 265000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 163384 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
