| LCA CASE NUMBER | I-200-22188-338116 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-07-07 |
| DECISION DATE | 2022-07-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-08-01 |
| END DATE | 2025-07-31 |
| 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 | HENNEPIN HEALTHCARE SYSTEM, INC. |
| TRADE NAME DBA | HENNEPIN COUNTY MEDICAL CENTER (HCMC) |
| EMPLOYER ADDRESS1 | 701 PARK AVENUE |
| EMPLOYER ADDRESS2 | 600 FRED SHAPIRO BUILDING |
| EMPLOYER CITY | MINNEAPOLIS |
| EMPLOYER STATE | MN |
| EMPLOYER POSTAL CODE | 55415-1676 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16128732747 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Riordan |
| EMPLOYER POC FIRST NAME | Simon |
| EMPLOYER POC JOB TITLE | Sr. Provider Talent Acquisition Specialist |
| EMPLOYER POC ADDRESS1 | 701 PARK AVENUE |
| EMPLOYER POC ADDRESS2 | 600 FRED SHAPIRO BUILDING |
| EMPLOYER POC CITY | MINNEAPOLIS |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55415 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16128732747 |
| EMPLOYER POC EMAIL | simon.riordan@hcmed.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Medeiros |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Thomas |
| AGENT ATTORNEY ADDRESS1 | 250 Marquette Avenue South, Suite 800 |
| AGENT ATTORNEY ADDRESS2 | 30766-0031 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123057500 |
| AGENT ATTORNEY EMAIL ADDRESS | jmedeiros@nilanjohnson.com |
| LAWFIRM NAME BUSINESS NAME | Nilan Johnson Lewis PA |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2810 Nicollett Avenue |
| LCA CASE WORKLOC1 CITY | Minneapolis |
| WORKSITE COUNTY | HENNEPIN |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 55408 |
| LCA CASE WAGE RATE FROM | 252117 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 56098 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
