| CASE NUMBER | I-200-25035-664334 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/4/2025 |
| DECISION DATE | 2/11/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Neurologist |
| SOC CODE | 29-1217.00 |
| SOC TITLE | Neurologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/24/2025 |
| END DATE | 7/23/2028 |
| 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 | Inland Hospital |
| TRADE NAME DBA | Northern Light Inland Hospital |
| EMPLOYER ADDRESS1 | 200 Kennedy Memorial Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Waterville |
| EMPLOYER STATE | ME |
| EMPLOYER POSTAL CODE | 4901 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12079739801 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Randlett |
| EMPLOYER POC FIRST NAME | Megan |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | VP & Deputy General Counsel |
| EMPLOYER POC ADDRESS1 | 489 State Street |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Bangor |
| EMPLOYER POC STATE | ME |
| EMPLOYER POC POSTAL CODE | 4401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12079739801 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | mrandlett@northernlight.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Murray |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 48 Free Street |
| AGENT ATTORNEY ADDRESS2 | Ste. 300 |
| AGENT ATTORNEY CITY | Portland |
| AGENT ATTORNEY STATE | ME |
| AGENT ATTORNEY POSTAL CODE | 4101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12076137331 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | michael@fordmurraylaw.com |
| LAWFIRM NAME BUSINESS NAME | FordMurray |
| STATE OF HIGHEST COURT | ME |
| NAME OF HIGHEST STATE COURT | Supreme Judicial Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 180 Kennedy Memorial Drive |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Waterville |
| WORKSITE COUNTY | WATERVILLE CITY |
| WORKSITE STATE | ME |
| WORKSITE POSTAL CODE | 4901 |
| WAGE RATE OF PAY FROM | $335,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $175,344.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-07-24 |
