| LCA CASE NUMBER | I-200-20352-967882 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-17 |
| DECISION DATE | 2020-12-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Otolaryngologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-15 |
| END DATE | 2024-01-14 |
| 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 | Marvel Clinic, P.C. |
| TRADE NAME DBA | Marvel Cosmetic Surgery, P.C. |
| EMPLOYER ADDRESS1 | 1821 N. Washington Street |
| EMPLOYER CITY | Tullahoma |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37388 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19314552005 |
| EMPLOYER PHONE EXT | 0 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Marvel |
| EMPLOYER POC FIRST NAME | Jeffrey |
| EMPLOYER POC MIDDLE NAME | Blaine |
| EMPLOYER POC JOB TITLE | Medical Doctor |
| EMPLOYER POC ADDRESS 1 | 1821 N. Washington Street |
| EMPLOYER POC CITY | Tullahoma |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37388 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19314552005 |
| EMPLOYER POC PHONE EXT | 0 |
| EMPLOYER POC EMAIL | marvelmd@marvelclinic.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Uy |
| AGENT ATTORNEY FIRST NAME | Lien |
| AGENT ATTORNEY MIDDLE NAME | Lac |
| AGENT ATTORNEY ADDRESS1 | 415 Grand Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 205 |
| AGENT ATTORNEY CITY | South San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94080 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15108933294 |
| AGENT ATTORNEY PHONE EXT | 0 |
| AGENT ATTORNEY EMAIL ADDRESS | lien@uylawgroup.com |
| LAWFIRM NAME BUSINESS NAME | Uy Law Group |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1821 N. Washington Street |
| LCA CASE WORKLOC1 CITY | Tullahoma |
| WORKSITE COUNTY | COFFEE |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 37388 |
| LCA CASE WAGE RATE FROM | 240000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 177091 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
