| LCA CASE NUMBER | I-200-24338-514690 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-12-03 |
| DECISION DATE | 2024-12-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1221 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-02-14 |
| END DATE | 2028-02-13 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Pines Health |
| EMPLOYER ADDRESS1 | 74 Access Highway |
| EMPLOYER ADDRESS2 | PO Box 40 |
| EMPLOYER CITY | Caribou |
| EMPLOYER STATE | ME |
| EMPLOYER POSTAL CODE | 04736 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12074982359 |
| EMPLOYER FEIN | 01-0376890 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Wickstrom |
| EMPLOYER POC FIRST NAME | Penny |
| EMPLOYER POC JOB TITLE | HR Manager |
| EMPLOYER POC ADDRESS1 | 74 Access Highway |
| EMPLOYER POC ADDRESS2 | PO Box 40 |
| EMPLOYER POC CITY | Caribou |
| EMPLOYER POC STATE | ME |
| EMPLOYER POC POSTAL CODE | 04736 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | MAINE |
| EMPLOYER POC PHONE | 12074982356 |
| EMPLOYER POC PHONE EXT | 2031 |
| EMPLOYER POC EMAIL | pwickstrom@pineshealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kelly |
| AGENT ATTORNEY FIRST NAME | Dayna |
| AGENT ATTORNEY MIDDLE NAME | Jo |
| AGENT ATTORNEY ADDRESS1 | 101 Two Hills Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 220 |
| AGENT ATTORNEY CITY | Carrboro |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19199697200 |
| AGENT ATTORNEY EMAIL ADDRESS | INFO@DKELLY.COM |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Dayna Kelly, PC |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 163 Van Buren Road |
| LCA CASE WORKLOC1 CITY | Caribou |
| WORKSITE COUNTY | CARIBOU CITY |
| LCA CASE WORKLOC1 STATE | ME |
| WORKSITE POSTAL CODE | 04736 |
| LCA CASE WAGE RATE FROM | 110760 |
| LCA CASE WAGE RATE TO | 230000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 110760 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 6 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |