| LCA CASE NUMBER | I-200-21351-772583 |
| STATUS | Withdrawn |
| LCA CASE SUBMIT | 2021-12-17 |
| DECISION DATE | 2021-12-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Intensivist |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-20 |
| END DATE | 2024-12-19 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Mountain States Neonatology, Inc. |
| EMPLOYER ADDRESS1 | 1301 Concord Terrace |
| EMPLOYER CITY | Sunrise |
| EMPLOYER STATE | FL |
| EMPLOYER POSTAL CODE | 33323 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19543840175 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Fair |
| EMPLOYER POC FIRST NAME | Claire |
| EMPLOYER POC JOB TITLE | SVP and Chief Human Resources Officer |
| EMPLOYER POC ADDRESS1 | 1301 Concord Terrace |
| EMPLOYER POC CITY | Sunrise |
| EMPLOYER POC STATE | FL |
| EMPLOYER POC POSTAL CODE | 33323 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19543840175 |
| EMPLOYER POC EMAIL | claire_faire@mednax.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ombok |
| AGENT ATTORNEY FIRST NAME | Otieno |
| AGENT ATTORNEY MIDDLE NAME | B |
| AGENT ATTORNEY ADDRESS1 | 44 South Broadway |
| AGENT ATTORNEY ADDRESS2 | 14th Floor |
| AGENT ATTORNEY CITY | White Plains |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19148726895 |
| AGENT ATTORNEY EMAIL ADDRESS | omboko@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis, P.C. |
| STATE OF HIGHEST COURT | NY |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Eastern Idaho Regional Medical Center |
| WORKSITE ADDRESS1 | 3100 Channing Way |
| LCA CASE WORKLOC1 CITY | Idaho Falls |
| WORKSITE COUNTY | BONNEVILLE |
| LCA CASE WORKLOC1 STATE | ID |
| WORKSITE POSTAL CODE | 83404 |
| LCA CASE WAGE RATE FROM | 89.62 |
| LCA CASE WAGE RATE TO | 104 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 89.62 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | Jackson Lewis, P.C. |
| PREPARER EMAIL | otieno.ombok@jacksonlewis.com |
