| LCA CASE NUMBER | I-200-21361-787304 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-27 |
| DECISION DATE | 2022-01-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-06-03 |
| END DATE | 2025-06-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Innovis Health, LLC |
| TRADE NAME DBA | Essentia Health West |
| EMPLOYER ADDRESS1 | 1702 S University Dr |
| EMPLOYER CITY | Fargo |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58103 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17013648084 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Trom |
| EMPLOYER POC FIRST NAME | Jackie |
| EMPLOYER POC JOB TITLE | Physician Recruiter |
| EMPLOYER POC ADDRESS1 | 1702 S University Dr |
| EMPLOYER POC CITY | Fargo |
| EMPLOYER POC STATE | ND |
| EMPLOYER POC POSTAL CODE | 58103 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17013648084 |
| EMPLOYER POC EMAIL | jackie.trom@essentiahealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bruner |
| AGENT ATTORNEY FIRST NAME | Elise |
| AGENT ATTORNEY MIDDLE NAME | Rae |
| AGENT ATTORNEY ADDRESS1 | 350 Highway 7 |
| AGENT ATTORNEY ADDRESS2 | Suite 140 |
| AGENT ATTORNEY CITY | Excelsior |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55331 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19527972619 |
| AGENT ATTORNEY EMAIL ADDRESS | ebruner@brunerlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Bruner Law Group, PLLC |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1027 Washington Ave |
| LCA CASE WORKLOC1 CITY | Detroit Lakes |
| WORKSITE COUNTY | BECKER |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 56501 |
| LCA CASE WAGE RATE FROM | 260000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 124114 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
