| CASE NUMBER | I-200-24332-504187 |
| CASE STATUS | Certified |
| RECEIVED DATE | 11/27/2024 |
| DECISION DATE | 12/5/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | General Internal Medicine Physician/Faculty |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/16/2025 |
| END DATE | 1/15/2028 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | UNIVERSITY OF KANSAS MEDICAL CENTER |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 3901 Rainbow Blvd. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Kansas City |
| EMPLOYER STATE | KS |
| EMPLOYER POSTAL CODE | 66160 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 19135881480 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 61131 |
| EMPLOYER POC LAST NAME | Rader |
| EMPLOYER POC FIRST NAME | Stacie |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Program Manager |
| EMPLOYER POC ADDRESS1 | 3901 Rainbow Blvd., Mail Stop 3033 |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Kansas City |
| EMPLOYER POC STATE | KS |
| EMPLOYER POC POSTAL CODE | 66160 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 19135881480 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | srader@kumc.edu |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Noulles |
| AGENT ATTORNEY FIRST NAME | Sarah |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 9303 W 75TH ST |
| AGENT ATTORNEY ADDRESS2 | STE 210 |
| AGENT ATTORNEY CITY | Overland Park |
| AGENT ATTORNEY STATE | KS |
| AGENT ATTORNEY POSTAL CODE | 66204 |
| 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 | 3901 Rainbow Blvd. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Kansas City |
| WORKSITE COUNTY | WYANDOTTE |
| WORKSITE STATE | KS |
| WORKSITE POSTAL CODE | 66160 |
| WAGE RATE OF PAY FROM | $282,947.70 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $240,178.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 | 2025-01-16 |
