| LCA CASE NUMBER | I-200-21321-711605 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-11-17 |
| DECISION DATE | 2021-11-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Emergency Medicine Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-05 |
| END DATE | 2024-12-04 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Indiana University Health Southern Indiana Physicians, LLC |
| EMPLOYER ADDRESS1 | 2905 N. Stone Carver Dr. |
| EMPLOYER CITY | Bloomington |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47404 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18123539535 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Deaton |
| EMPLOYER POC FIRST NAME | Kim |
| EMPLOYER POC JOB TITLE | Human Resources Consultant |
| EMPLOYER POC ADDRESS1 | 2905 Stone Carver Drive |
| EMPLOYER POC CITY | Bloomington |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47404 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18123537039 |
| EMPLOYER POC EMAIL | kdeaton@iuhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | FUSCHETTO |
| AGENT ATTORNEY FIRST NAME | JOSEPH |
| AGENT ATTORNEY MIDDLE NAME | ROCCO |
| AGENT ATTORNEY ADDRESS1 | PO BOX 910 |
| AGENT ATTORNEY CITY | Bloomington |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 47402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18123329295 |
| AGENT ATTORNEY EMAIL ADDRESS | jrf@lawbr.com |
| LAWFIRM NAME BUSINESS NAME | Bunger and Robertson |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | INDIANA SUPREME COURT |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2651 E. Discovery Parkway |
| LCA CASE WORKLOC1 CITY | Bloomington |
| WORKSITE COUNTY | MONROE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47408 |
| LCA CASE WAGE RATE FROM | 195 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 23.59 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
