| LCA CASE NUMBER | I-200-23159-091792 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-06-08 |
| DECISION DATE | 2023-06-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-09-01 |
| END DATE | 2026-08-31 |
| 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 | Mercy Clinics, Inc. |
| TRADE NAME DBA | MercyOne Medical Group Central Iowa |
| EMPLOYER ADDRESS1 | 405 SW 5th St. |
| EMPLOYER ADDRESS2 | Suite F |
| EMPLOYER CITY | Des Moines |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 50309 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15153586932 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Booth |
| EMPLOYER POC FIRST NAME | Debra |
| EMPLOYER POC MIDDLE NAME | P |
| EMPLOYER POC JOB TITLE | Contract Specialist, Physician Employment Services |
| EMPLOYER POC ADDRESS1 | 405 SW 5th St |
| EMPLOYER POC ADDRESS2 | Suite F |
| EMPLOYER POC CITY | Des Moines |
| EMPLOYER POC STATE | IA |
| EMPLOYER POC POSTAL CODE | 50309 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15153586932 |
| EMPLOYER POC EMAIL | debra.booth@commonspirit.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bruner |
| AGENT ATTORNEY FIRST NAME | Brian |
| AGENT ATTORNEY MIDDLE NAME | T. |
| AGENT ATTORNEY ADDRESS1 | 350 Highway 7 |
| AGENT ATTORNEY ADDRESS2 | Suite 140 |
| AGENT ATTORNEY CITY | Excelsior |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55331 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | Minnesota |
| AGENT ATTORNEY PHONE | 16122055494 |
| AGENT ATTORNEY EMAIL ADDRESS | bbruner@brunerlawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Bruner Law Group, PLLC |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 330 Laurel Street |
| WORKSITE ADDRESS2 | Ste. 1200 |
| LCA CASE WORKLOC1 CITY | Des Moines |
| WORKSITE COUNTY | POLK |
| LCA CASE WORKLOC1 STATE | IA |
| WORKSITE POSTAL CODE | 50314 |
| LCA CASE WAGE RATE FROM | 246000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| 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 |
