| LCA CASE NUMBER | I-200-24135-993321 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-05-14 |
| DECISION DATE | 2024-05-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Health Center Physician-Pediatrician |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2024-07-01 |
| END DATE | 2027-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | HealthNet Inc. |
| TRADE NAME DBA | HealthNet Inc. |
| EMPLOYER ADDRESS1 | 3403 E Raymond St |
| EMPLOYER CITY | Indianapolis |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46203 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13179572000 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Cantrell |
| EMPLOYER POC FIRST NAME | Varon |
| EMPLOYER POC JOB TITLE | Chief Medical Officer |
| EMPLOYER POC ADDRESS1 | 3403 E Raymond Street |
| EMPLOYER POC CITY | Indianapolis |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46203 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13179572015 |
| EMPLOYER POC EMAIL | Varon.Cantrell@indyhealthnet.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Alworth |
| AGENT ATTORNEY FIRST NAME | Mimi |
| AGENT ATTORNEY MIDDLE NAME | H. |
| AGENT ATTORNEY ADDRESS1 | 60 South Sixth Street |
| AGENT ATTORNEY ADDRESS2 | Ste. 1500 |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16124927840 |
| AGENT ATTORNEY EMAIL ADDRESS | malworth@fredlaw.com |
| LAWFIRM NAME BUSINESS NAME | Fredrikson & Byron, P.A. |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 811 W 2nd Street |
| LCA CASE WORKLOC1 CITY | Bloomington |
| WORKSITE COUNTY | MONROE |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 47403 |
| LCA CASE WAGE RATE FROM | 101.08 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 101.03 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |