| CASE NUMBER | I-200-24275-377134 |
| CASE STATUS | Certified |
| RECEIVED DATE | 10/1/2024 |
| DECISION DATE | 10/8/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Physician (Urology) |
| SOC CODE | 29-1229.03 |
| SOC TITLE | Urologists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 2/1/2025 |
| END DATE | 1/31/2028 |
| 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 Hospitals Medical Group, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 11100 Euclid Avenue |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Cleveland |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44106 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12168443820 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Mansour |
| EMPLOYER POC FIRST NAME | Lisa |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Coordinator, Physician Services |
| EMPLOYER POC ADDRESS1 | 3605 Warrensville Center Road |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Shaker Heights |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44122 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12169831028 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | lisa.mansour@uhhospitals.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Jolic |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 16959 Bernardo Center Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 104 |
| AGENT ATTORNEY CITY | San Diego |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92128 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 18582586588 |
| AGENT ATTORNEY PHONE EXT | 107 |
| AGENT ATTORNEY EMAIL ADDRESS | michael@mjbimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Martin Jolic and Associates, Inc. |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 11100 Euclid Avenue |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Cleveland |
| WORKSITE COUNTY | CUYAHOGA |
| WORKSITE STATE | OH |
| WORKSITE POSTAL CODE | 44106 |
| WAGE RATE OF PAY FROM | $535,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $239,200.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | N/A |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 4 |
| 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 | 2025-02-01 |
