| LCA CASE NUMBER | I-200-23058-806636 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-02-27 |
| DECISION DATE | 2023-03-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-04-01 |
| END DATE | 2026-03-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | InterMed, P.A. |
| EMPLOYER ADDRESS1 | 84 Marginal Way |
| EMPLOYER CITY | Portland |
| EMPLOYER STATE | ME |
| EMPLOYER POSTAL CODE | 04101 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12033472853 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Poitras |
| EMPLOYER POC FIRST NAME | Roger |
| EMPLOYER POC JOB TITLE | DHA, Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 84 Marginal Way |
| EMPLOYER POC CITY | Portland |
| EMPLOYER POC STATE | ME |
| EMPLOYER POC POSTAL CODE | 04101 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12073472853 |
| EMPLOYER POC EMAIL | rpoitras@intermed.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hopwood |
| AGENT ATTORNEY FIRST NAME | Lauren |
| AGENT ATTORNEY MIDDLE NAME | Meris |
| AGENT ATTORNEY ADDRESS1 | 195 Church Street |
| AGENT ATTORNEY ADDRESS2 | Floor 18 |
| AGENT ATTORNEY CITY | New Haven |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 06510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12037843104 |
| AGENT ATTORNEY EMAIL ADDRESS | LHopwood@carmodylaw.com |
| LAWFIRM NAME BUSINESS NAME | Carmody Torrance Sandak and Hennessey LLP |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Connecticut Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | InterMed, P.A. |
| WORKSITE ADDRESS2 | 100 Foden Road East |
| LCA CASE WORKLOC1 CITY | South Portland |
| WORKSITE COUNTY | PORTLAND CITY |
| LCA CASE WORKLOC1 STATE | ME |
| WORKSITE POSTAL CODE | 04106 |
| LCA CASE WAGE RATE FROM | 231322 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 145725 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Saravia |
| PREPARER FIRST NAME | Maria |
| PREPARER MIDDLE INITIAL | I |
| PREPARER BUSINESS NAME | Carmody Torrance Sandak Hennessey LLP |
| PREPARER EMAIL | MSaravia@carmodylaw.com |
