| LCA CASE NUMBER | I-200-20127-546295 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-06 |
| DECISION DATE | 2020-05-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-31 |
| END DATE | 2023-07-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Central Mississippi Civic Improvement Association |
| TRADE NAME DBA | Jackson-Hinds Comprehensive Health Center |
| EMPLOYER ADDRESS1 | 3502 West Northside Drive |
| EMPLOYER CITY | Jackson |
| EMPLOYER STATE | MS |
| EMPLOYER POSTAL CODE | 39213 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16013645126 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Chapman |
| EMPLOYER POC FIRST NAME | Jasmin |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 3502 Northside Drive |
| EMPLOYER POC CITY | Jackson |
| EMPLOYER POC STATE | MS |
| EMPLOYER POC POSTAL CODE | 39213 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16013645126 |
| EMPLOYER POC EMAIL | bettyrow@jackson-hinds.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Massiatte |
| AGENT ATTORNEY FIRST NAME | Rebecca |
| AGENT ATTORNEY MIDDLE NAME | Rene |
| AGENT ATTORNEY ADDRESS1 | 12655 North Central Expressway |
| AGENT ATTORNEY ADDRESS2 | Suite 275 |
| AGENT ATTORNEY CITY | Dallas |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75243 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12143895703.0 |
| AGENT ATTORNEY EMAIL ADDRESS | rebecca@jmafirm.com |
| LAWFIRM NAME BUSINESS NAME | JMA Firm, PLLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Texas Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 350 W. Woodrow Wilson Avenue |
| LCA CASE WORKLOC1 CITY | Jackson |
| WORKSITE COUNTY | HINDS |
| LCA CASE WORKLOC1 STATE | MS |
| WORKSITE POSTAL CODE | 39213 |
| LCA CASE WAGE RATE FROM | 173014.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 151195.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
