| LCA CASE NUMBER | I-200-22166-280494 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-06-14 |
| DECISION DATE | 2022-06-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Anesthesiologist |
| SOC CODE | 29-1061.00 |
| SOC TITLE | Anesthesiologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-08-15 |
| END DATE | 2025-08-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Covenant Medical Center, Inc. |
| TRADE NAME DBA | MercyOne Waterloo Medical Center |
| EMPLOYER ADDRESS1 | 3421 W 9th Street |
| EMPLOYER CITY | Waterloo |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 50702 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13192727325 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Landsgard |
| EMPLOYER POC FIRST NAME | Lori |
| EMPLOYER POC MIDDLE NAME | S. |
| EMPLOYER POC JOB TITLE | Physician Placement Coordinator |
| EMPLOYER POC ADDRESS1 | 3421 W 9th Street |
| EMPLOYER POC CITY | Waterloo |
| EMPLOYER POC STATE | IA |
| EMPLOYER POC POSTAL CODE | 50702 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13192727325 |
| EMPLOYER POC EMAIL | Lori.Landsgard@mercyhealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Grabchuk |
| AGENT ATTORNEY FIRST NAME | Marina |
| AGENT ATTORNEY MIDDLE NAME | S. |
| AGENT ATTORNEY ADDRESS1 | 5550 Wild Rose Lane |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | West Des Moines |
| AGENT ATTORNEY STATE | IA |
| AGENT ATTORNEY POSTAL CODE | 50266 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15155340003 |
| AGENT ATTORNEY EMAIL ADDRESS | marina@opensky.law |
| LAWFIRM NAME BUSINESS NAME | Open Sky Law, PLLC |
| STATE OF HIGHEST COURT | IA |
| NAME OF HIGHEST STATE COURT | Iowa |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3421 W 9th Street |
| LCA CASE WORKLOC1 CITY | Waterloo |
| WORKSITE COUNTY | BLACK HAWK |
| LCA CASE WORKLOC1 STATE | IA |
| WORKSITE POSTAL CODE | 50702 |
| LCA CASE WAGE RATE FROM | 466060 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 59093 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
