| CASE NUMBER | I-200-25059-733360 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/28/2025 |
| DECISION DATE | 3/7/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Neurologist |
| SOC CODE | 29-1217.00 |
| SOC TITLE | Neurologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/1/2025 |
| END DATE | 6/30/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Prevea Clinic, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2710 Executive Dr. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Green Bay |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54304 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18002363030 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Rai |
| EMPLOYER POC FIRST NAME | Ashok |
| EMPLOYER POC MIDDLE NAME | N. |
| EMPLOYER POC JOB TITLE | President & CEO |
| EMPLOYER POC ADDRESS1 | 2701 Executive Dr. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Green Bay |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54304 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18002363030 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | dolly.willems@prevea.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Lacy |
| AGENT ATTORNEY FIRST NAME | Callie |
| AGENT ATTORNEY MIDDLE NAME | Kidder |
| AGENT ATTORNEY ADDRESS1 | 205 Doty St. |
| AGENT ATTORNEY ADDRESS2 | Ste. 201 |
| AGENT ATTORNEY CITY | Green Bay |
| AGENT ATTORNEY STATE | WI |
| AGENT ATTORNEY POSTAL CODE | 54301 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19202830711 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | clacy@law-rll.com |
| LAWFIRM NAME BUSINESS NAME | Renning, Lewis & Lacy |
| STATE OF HIGHEST COURT | WI |
| NAME OF HIGHEST STATE COURT | Wisconsin Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1821 S. Webster Ave. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Green Bay |
| WORKSITE COUNTY | BROWN |
| WORKSITE STATE | WI |
| WORKSITE POSTAL CODE | 54301 |
| WAGE RATE OF PAY FROM | $347,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $450,000.00 |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $239,200.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | N/A |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 6 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-07-01 |
