| LCA CASE NUMBER | I-200-24200-207185 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-07-18 |
| DECISION DATE | 2024-07-25 |
| 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 | 2024-08-01 |
| END DATE | 2027-07-31 |
| 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 | Sanford Medical Center Fargo |
| EMPLOYER ADDRESS1 | 801 Broadway N |
| EMPLOYER CITY | Fargo |
| EMPLOYER STATE | ND |
| EMPLOYER POSTAL CODE | 58122 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17014172000 |
| EMPLOYER FEIN | 45-0226909 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Maly |
| EMPLOYER POC FIRST NAME | Shelby |
| EMPLOYER POC MIDDLE NAME | Kate |
| EMPLOYER POC JOB TITLE | Corporate Counsel |
| EMPLOYER POC ADDRESS1 | 1305 W. 18th Street |
| EMPLOYER POC CITY | Sioux Falls |
| EMPLOYER POC STATE | SD |
| EMPLOYER POC POSTAL CODE | 57105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16053126505 |
| EMPLOYER POC EMAIL | shelby.maly@sanfordhealth.org |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1611 Anne Street NW |
| LCA CASE WORKLOC1 CITY | Bemidji |
| WORKSITE COUNTY | BELTRAMI |
| LCA CASE WORKLOC1 STATE | MN |
| WORKSITE POSTAL CODE | 56601 |
| LCA CASE WAGE RATE FROM | 146578 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 146578 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |