| LCA CASE NUMBER | I-200-21267-606171 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-24 |
| DECISION DATE | 2021-10-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | System Medical Director Addiction Services |
| SOC CODE | 29-1066.00 |
| SOC TITLE | Psychiatrists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-15 |
| END DATE | 2024-10-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Allina Health System |
| EMPLOYER ADDRESS1 | 2925 Chicago Avenue |
| EMPLOYER CITY | Minneapolis |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55407 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16122623333 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | LaVone |
| EMPLOYER POC FIRST NAME | Pamela |
| EMPLOYER POC JOB TITLE | Provider Recruitment Talent Acquisition Specialist |
| EMPLOYER POC ADDRESS1 | 2925 Chicago Ave |
| EMPLOYER POC ADDRESS2 | Mail Route 10711 |
| EMPLOYER POC CITY | Minneapolis |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55407 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16122624562 |
| EMPLOYER POC EMAIL | pamela.lavone@allina.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Carlson |
| AGENT ATTORNEY FIRST NAME | Beth |
| AGENT ATTORNEY MIDDLE NAME | E |
| AGENT ATTORNEY ADDRESS1 | 90 S 7th St |
| AGENT ATTORNEY ADDRESS2 | Suite 2200 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16127667652 |
| AGENT ATTORNEY EMAIL ADDRESS | beth.carlson@faegredrinker.com |
| LAWFIRM NAME BUSINESS NAME | Faegre Drinker Biddle & Reath LLP |
|
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 550 Osborne Rd. NE |
| LCA CASE WORKLOC1 CITY | Fridley |
| WORKSITE COUNTY | ANOKA |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55432 |
| LCA CASE WAGE RATE FROM | 293307 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 293307 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2021 |
| PW SURVEY PUBLISHER | Medical Group Management Association |
| PW SURVEY NAME | Provider Compensation Report |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
