\ H1B CASE NUMBER I-200-25030-653392



CASE NUNBER: I-200-25030-653392

LCA CASE NUMBERI-200-25030-653392
STATUSWithdrawn
LCA CASE SUBMIT2025-01-30
DECISION DATE2025-01-30
VISA CLASSH-1B
LCA CASE JOB TITLEPhysician (Pediatrics)
SOC CODE29-1221
SOC TITLEPediatricians, General
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2025-01-30
END DATE2028-01-26
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMESSM Cardinal Glennon Childrens Hospital
TRADE NAME DBASSM Health Cardinal Glennon Childrens Hospital
EMPLOYER ADDRESS11465 S. Grand Blvd
EMPLOYER CITYSt. Louis
EMPLOYER STATEMO
EMPLOYER POSTAL CODE63104
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE13149892124
EMPLOYER FEIN43-0738490
NAICS CODE622110
EMPLOYER POC LAST NAMEElledge
EMPLOYER POC FIRST NAMEKevin
EMPLOYER POC JOB TITLERegional President - Medical Group
EMPLOYER POC ADDRESS112800 Corporate Hill Drive
EMPLOYER POC CITYSt. Louis
EMPLOYER POC STATEMO
EMPLOYER POC POSTAL CODE63131
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE13145238782
EMPLOYER POC EMAILawoodlee@hallrender.com
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEKim
AGENT ATTORNEY FIRST NAMEMichael
AGENT ATTORNEY MIDDLE NAMELee
AGENT ATTORNEY ADDRESS1500 N. Meridian Street
AGENT ATTORNEY ADDRESS2Suite 400
AGENT ATTORNEY CITYIndianapolis
AGENT ATTORNEY STATEIN
AGENT ATTORNEY POSTAL CODE46204
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PROVINCEIndiana
AGENT ATTORNEY PHONE13179771418
AGENT ATTORNEY EMAIL ADDRESSkdickson@hallrender.com
LAWFIRM NAME BUSINESS NAMEHall, Render, Killian, Heath & Lyman, P.C.
STATE OF HIGHEST COURTIN
NAME OF HIGHEST STATE COURTSupreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS11465 South Grand Boulevard
LCA CASE WORKLOC1 CITYSt. Louis
WORKSITE COUNTYST LOUIS CITY
LCA CASE WORKLOC1 STATEMO
WORKSITE POSTAL CODE63104
LCA CASE WAGE RATE FROM207061
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE124134
PW UNIT OF PAYYear
PW WAGE LEVELI
PW OES YEAR7/1/2024 - 6/30/2025
TOTAL WORKSITE LOCATIONS7
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business