| LCA CASE NUMBER | I-200-22283-521081 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2022-10-10 |
| DECISION DATE | 2022-12-05 |
| ORIGINAL CERT DATE | 2022-10-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Physician |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-11-01 |
| END DATE | 2025-10-31 |
| 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 | Community Health Centers of Southeastern Iowa, Inc. |
| EMPLOYER ADDRESS1 | 1706 West Agency Road |
| EMPLOYER CITY | West Burlington |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 52655 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13104293692 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Flores |
| EMPLOYER POC FIRST NAME | Antonio |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 1706 West Agency Road |
| EMPLOYER POC CITY | West Burlington |
| EMPLOYER POC STATE | IA |
| EMPLOYER POC POSTAL CODE | 52655 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13104293692 |
| EMPLOYER POC EMAIL | antonioflores@chcseia.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kildow |
| AGENT ATTORNEY FIRST NAME | Jeanne |
| AGENT ATTORNEY ADDRESS1 | 3950 IDS Center |
| AGENT ATTORNEY ADDRESS2 | 80 South 8th Street |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123210082 |
| AGENT ATTORNEY EMAIL ADDRESS | jkildow@borene.com |
| LAWFIRM NAME BUSINESS NAME | Borene Law Firm, P.A. |
|
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1223 South Gear Avenue |
| WORKSITE ADDRESS2 | Suite 108 |
| LCA CASE WORKLOC1 CITY | West Burlington |
| WORKSITE COUNTY | DES MOINES |
| LCA CASE WORKLOC1 STATE | IA |
| WORKSITE POSTAL CODE | 52655 |
| LCA CASE WAGE RATE FROM | 58677 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 58677 |
| 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 |
