\ H1B CASE NUMBER I-200-24116-925962



CASE NUNBER: I-200-24116-925962

LCA CASE NUMBERI-200-24116-925962
STATUSCertified - Withdrawn
LCA CASE SUBMIT2024-04-25
DECISION DATE2024-09-17
ORIGINAL CERT DATE2024-05-02
VISA CLASSH-1B
LCA CASE JOB TITLEPrimary Care Physician
SOC CODE29-1216.00
SOC TITLEGeneral Internal Medicine Physicians
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2024-07-01
END DATE2027-06-30
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEHealthNet Inc.
TRADE NAME DBAHealthNet Inc.
EMPLOYER ADDRESS13403 E Raymond St
EMPLOYER CITYIndianapolis
EMPLOYER STATEIN
EMPLOYER POSTAL CODE46203
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE13179572000
EMPLOYER FEIN35-1579827
NAICS CODE62111
EMPLOYER POC LAST NAMECantrell
EMPLOYER POC FIRST NAMEVaron
EMPLOYER POC JOB TITLEChief Medical Officer
EMPLOYER POC ADDRESS13403 E Raymond Street
EMPLOYER POC CITYIndianapolis
EMPLOYER POC STATEIN
EMPLOYER POC POSTAL CODE46203
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE13179572015
EMPLOYER POC EMAILVaron.Cantrell@indyhealthnet.org
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEAlworth
AGENT ATTORNEY FIRST NAMEMimi
AGENT ATTORNEY MIDDLE NAMEH.
AGENT ATTORNEY ADDRESS160 South Sixth Street
AGENT ATTORNEY ADDRESS2Ste. 1500
AGENT ATTORNEY CITYMinneapolis
AGENT ATTORNEY STATEMN
AGENT ATTORNEY POSTAL CODE55402
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE16124927840
AGENT ATTORNEY EMAIL ADDRESSmalworth@fredlaw.com
LAWFIRM NAME BUSINESS NAMEFredrikson & Byron, P.A.
STATE OF HIGHEST COURTMN
NAME OF HIGHEST STATE COURTSupreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS11522 W Morris Street
LCA CASE WORKLOC1 CITYIndianapolis
WORKSITE COUNTYMARION
LCA CASE WORKLOC1 STATEIN
WORKSITE POSTAL CODE46221
LCA CASE WAGE RATE FROM218899.2
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE163824
PW UNIT OF PAYYear
PW OTHER SOURCESurvey
PW OTHER YEAR2023
PW SURVEY PUBLISHERWillis Towers Watson Data Services, Inc
PW SURVEY NAMEMiddle Management, Professional, & Support Compensation Surv
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business