| CASE NUMBER | I-200-25042-682872 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/11/2025 |
| DECISION DATE | 2/19/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Nephrologist |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/29/2025 |
| END DATE | 7/28/2028 |
| 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 | Mosaic Health System |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 5325 Faraon Street |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | St. Joseph |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 64506 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 18162716000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Portman |
| EMPLOYER POC FIRST NAME | Cheryl |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | Director, Provider Talent Management |
| EMPLOYER POC ADDRESS1 | 5325 Faraon Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | St. Joseph Street |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 64506 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18162717506 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Cheryl.Portman@mymlc.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Zollinger |
| AGENT ATTORNEY FIRST NAME | Jeremy |
| AGENT ATTORNEY MIDDLE NAME | Scott |
| AGENT ATTORNEY ADDRESS1 | 1100 Poydras Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1485 |
| AGENT ATTORNEY CITY | New Orleans |
| AGENT ATTORNEY STATE | LA |
| AGENT ATTORNEY POSTAL CODE | 70163 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 15048811300 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | jzollinger@zollingerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Zollinger Immigration, ALC |
| STATE OF HIGHEST COURT | LA |
| NAME OF HIGHEST STATE COURT | Louisiana Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1009 W. St. Maartens Drive |
| WORKSITE ADDRESS2 | Suite F |
| WORKSITE CITY | St. Joseph |
| WORKSITE COUNTY | BUCHANAN |
| WORKSITE STATE | MO |
| WORKSITE POSTAL CODE | 64506 |
| WAGE RATE OF PAY FROM | $309,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $74,464.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 5 |
| 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 | 2025-07-29 |
