| CASE NUMBER | I-200-25035-663644 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/4/2025 |
| DECISION DATE | 2/11/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Pediatric Critical Care Medicine Fellow |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/1/2025 |
| END DATE | 8/21/2025 |
| 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 | The Children's Mercy Hospital |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 2401 Gillham Rd. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Kansas City |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 64108 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | Missouri |
| EMPLOYER PHONE | 18162343000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Henak |
| EMPLOYER POC FIRST NAME | Liz |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | HR Immigration Program Coordinator |
| EMPLOYER POC ADDRESS1 | 2401 Gillham Rd. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Kansas City |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 64108 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 18166520534 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | lhenak@cmh.edu |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Noulles |
| AGENT ATTORNEY FIRST NAME | Sarah |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 6701 W. 64th St |
| AGENT ATTORNEY ADDRESS2 | Suite 320 |
| AGENT ATTORNEY CITY | Overland Park |
| AGENT ATTORNEY STATE | KS |
| AGENT ATTORNEY POSTAL CODE | 66202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19134329994 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | BordeauNoulles@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Bordeau & Noulles LLC |
| STATE OF HIGHEST COURT | KS |
| NAME OF HIGHEST STATE COURT | Kansas Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2401 Gillham Rd. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Kansas City |
| WORKSITE COUNTY | JACKSON |
| WORKSITE STATE | MO |
| WORKSITE POSTAL CODE | 64108 |
| WAGE RATE OF PAY FROM | $81,203.20 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $66,581.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| 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 | Noulles |
| PREPARER FIRST NAME | Sarah |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Bordeau & Noulles LLC |
| PREPARER EMAIL | bordeaunoulles@gmail.com |
| BEGIN DATE CONVERTED | 2025-08-01 |
