| LCA CASE NUMBER | I-200-20211-740210 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-28 |
| DECISION DATE | 2020-08-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Neuro-Hospitalist Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-08 |
| END DATE | 2023-09-07 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Cookeville Regional Medical Center Authority |
| EMPLOYER ADDRESS1 | 1 Medical Center Blvd |
| EMPLOYER CITY | Cookeville |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 38501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19317832000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Korth |
| EMPLOYER POC FIRST NAME | Paul |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 1 Medical Center Blvd |
| EMPLOYER POC CITY | Cookeville |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 38501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19317832000 |
| EMPLOYER POC EMAIL | pkorth@crmchealth.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Photopulos |
| AGENT ATTORNEY FIRST NAME | Todd |
| AGENT ATTORNEY MIDDLE NAME | Peirce |
| AGENT ATTORNEY ADDRESS1 | 6075 Poplar Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 500 |
| AGENT ATTORNEY CITY | Memphis |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 38119 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19016807344.0 |
| AGENT ATTORNEY EMAIL ADDRESS | todd.photopulos@butlersnow.com |
| LAWFIRM NAME BUSINESS NAME | Butler Snow LLP |
| STATE OF HIGHEST COURT | TN |
|
| NAME OF HIGHEST STATE COURT | Tennessee Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1 Medical Center Blvd |
| LCA CASE WORKLOC1 CITY | Cookeville |
| WORKSITE COUNTY | PUTNAM |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 38501 |
| LCA CASE WAGE RATE FROM | 265000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
