| CASE NUMBER | I-200-24275-376786 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/1/2024 |
| DECISION DATE | 10/8/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Pulmonology/Critical Care Physician |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 12/15/2024 |
| END DATE | 12/14/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Indiana University Health Care Associates, Inc |
| TRADE NAME DBA | Indiana University Health Medical Group |
| EMPLOYER ADDRESS1 | 2401 W. University Ave. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Muncie |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 47303 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 17657473205 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | MCHENRY |
| EMPLOYER POC FIRST NAME | SUSAN |
| EMPLOYER POC MIDDLE NAME | N/A |
| EMPLOYER POC JOB TITLE | Business Development Consultant |
| EMPLOYER POC ADDRESS1 | 2401 West University Ave. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | MUNCIE |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 47303 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 17657473474 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | SMCHENRY@IUHEALTH.ORG |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Fuschetto |
| AGENT ATTORNEY FIRST NAME | Joseph |
| AGENT ATTORNEY MIDDLE NAME | Rocco |
| AGENT ATTORNEY ADDRESS1 | PO Box 910 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Bloomington |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 47402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 18123329295 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | jrf@lawbr.com |
| LAWFIRM NAME BUSINESS NAME | Bunger & Robertson |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Indiana Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2401 W University Ave |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Muncie |
| WORKSITE COUNTY | DELAWARE |
| WORKSITE STATE | IN |
| WORKSITE POSTAL CODE | 47303 |
| WAGE RATE OF PAY FROM | $310,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $510,000.00 |
| 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 | 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-12-15 |
