| LCA CASE NUMBER | I-200-21362-789011 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-28 |
| DECISION DATE | 2022-01-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist - Internal Medicine |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-10 |
| END DATE | 2023-07-15 |
| 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 | Fairview Health Services |
| EMPLOYER ADDRESS1 | 2450 Riverside Avenue South |
| EMPLOYER CITY | Minneapolis |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55454 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16126727272 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Beeth |
| EMPLOYER POC FIRST NAME | Laura |
| EMPLOYER POC JOB TITLE | Vice President, Talent Acquisition |
| EMPLOYER POC ADDRESS1 | 1700 University Ave. W. |
| EMPLOYER POC CITY | St. Paul |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16126722278 |
| EMPLOYER POC EMAIL | Laura.Beeth@fairview.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Aubin |
| AGENT ATTORNEY FIRST NAME | Ieva |
| AGENT ATTORNEY ADDRESS1 | 701 Fifth Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 6100 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12069032458 |
| AGENT ATTORNEY EMAIL ADDRESS | seattleimm@dorsey.com |
| LAWFIRM NAME BUSINESS NAME | Dorsey & Whitney LLP |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Washington State Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1575 Beam Ave |
| LCA CASE WORKLOC1 CITY | Maplewood |
| WORKSITE COUNTY | RAMSEY |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55109 |
| LCA CASE WAGE RATE FROM | 302529 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 59030 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 LAST NAME | Benson |
| PREPARER FIRST NAME | Jillian |
| PREPARER BUSINESS NAME | Dorsey & Whitney LLP |
| PREPARER EMAIL | benson.jillian@dorsey.com |
