| LCA CASE NUMBER | I-200-23188-173107 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-07-07 |
| DECISION DATE | 2023-07-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Physician |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-08-01 |
| END DATE | 2026-07-31 |
| 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 | Bayou La Batre Area Health Development Board, Inc. |
| TRADE NAME DBA | Mostellar Medical Center |
| EMPLOYER ADDRESS1 | 12701 Padgett Switch Rd |
| EMPLOYER CITY | Irvington |
| EMPLOYER STATE | AL |
| EMPLOYER POSTAL CODE | 36544 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12518241030 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Stork |
| EMPLOYER POC FIRST NAME | Todd |
| EMPLOYER POC JOB TITLE | Director of Operations/COO |
| EMPLOYER POC ADDRESS1 | 12701 Padgett Switch Rd |
| EMPLOYER POC CITY | Irvington |
| EMPLOYER POC STATE | AL |
| EMPLOYER POC POSTAL CODE | 36544 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12518241030 |
| EMPLOYER POC EMAIL | tstork@mostellarmedical.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Tedrow |
| AGENT ATTORNEY FIRST NAME | Klari |
| AGENT ATTORNEY MIDDLE NAME | B |
| AGENT ATTORNEY ADDRESS1 | 1976 Gadsden Hwy |
| AGENT ATTORNEY ADDRESS2 | Suite # 200 |
| AGENT ATTORNEY CITY | Birmingham |
| AGENT ATTORNEY STATE | AL |
| AGENT ATTORNEY POSTAL CODE | 35235 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12058718084 |
| AGENT ATTORNEY EMAIL ADDRESS | ktedrow@usimmigrant.net |
| LAWFIRM NAME BUSINESS NAME | Klari B. Tedrow, LLC |
| STATE OF HIGHEST COURT | AL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Alabama |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 12701 Padgett Switch Rd |
| LCA CASE WORKLOC1 CITY | Irvington |
| WORKSITE COUNTY | MOBILE |
| LCA CASE WORKLOC1 STATE | AL |
| WORKSITE POSTAL CODE | 36544 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 163966 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Tedrow |
| PREPARER FIRST NAME | Klari |
| PREPARER MIDDLE INITIAL | B |
| PREPARER BUSINESS NAME | Klari B. Tedrow, LLC |
| PREPARER EMAIL | ktedrow@usimmigrant.net |
