| LCA CASE NUMBER | I-200-21174-420054 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-22 |
| DECISION DATE | 2021-06-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-01 |
| END DATE | 2024-07-31 |
| 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 | Alexandria Springfield Emergency Physicians, P.C. |
| EMPLOYER ADDRESS1 | 12420 Milestone Center Drive |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Germantown |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 20876 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12406862300 |
| NAICS CODE | 813910 |
| EMPLOYER POC LAST NAME | Tait |
| EMPLOYER POC FIRST NAME | Jim |
| EMPLOYER POC JOB TITLE | Vice President Human Resources |
| EMPLOYER POC ADDRESS 1 | 12420 Milestone Center Drive |
| EMPLOYER POC ADDRESS 2 | Suite 200 |
| EMPLOYER POC CITY | Germantown |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 20876 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12406862300 |
| EMPLOYER POC EMAIL | jainna.dalcomine@alteonhealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Mudrick |
| AGENT ATTORNEY FIRST NAME | Samuel |
| AGENT ATTORNEY MIDDLE NAME | Joseph |
| AGENT ATTORNEY ADDRESS1 | 2550 M Street NW |
| AGENT ATTORNEY CITY | Washington |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20037 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12024575218 |
| AGENT ATTORNEY EMAIL ADDRESS | samuel.mudrick@squirepb.com |
| LAWFIRM NAME BUSINESS NAME | Squire Patton Boggs (US) LLP |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | DC |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Southside Regional Medical Center |
| WORKSITE ADDRESS1 | 200 Medical Park Blvd |
| LCA CASE WORKLOC1 CITY | Petersburg |
| WORKSITE COUNTY | PRINCE GEORGE |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 23805 |
| LCA CASE WAGE RATE FROM | 393600 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 239158 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER BUSINESS NAME | NOT APPLICABLE |
