| LCA CASE NUMBER | I-200-22075-984942 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-03-16 |
| DECISION DATE | 2022-03-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-07-01 |
| END DATE | 2025-06-30 |
| 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 | THE HEALTHCARE AUTHORITY FOR BAPTIST HEALTH AN AFFILIATE OF UAB HEALTH |
| TRADE NAME DBA | East Montgomery Primary Medicine |
| EMPLOYER ADDRESS1 | 301 BROWN SPRINGS ROAD |
| EMPLOYER CITY | MONTGOMERY |
| EMPLOYER STATE | AL |
| EMPLOYER POSTAL CODE | 36117 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13342734442 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | TYNER |
| EMPLOYER POC FIRST NAME | W. RUSSELL |
| EMPLOYER POC JOB TITLE | PRESIDENT AND CEO |
| EMPLOYER POC ADDRESS1 | 301 BROWN SPRINGS ROAD |
| EMPLOYER POC CITY | MONTGOMERY |
| EMPLOYER POC STATE | AL |
| EMPLOYER POC POSTAL CODE | 36117 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13342734442 |
| EMPLOYER POC EMAIL | PTSEARCY@BAPTISTFIRST.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Tedrow |
| AGENT ATTORNEY FIRST NAME | Klari |
| AGENT ATTORNEY MIDDLE NAME | B |
| AGENT ATTORNEY ADDRESS1 | 2907 Central Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 109 |
| AGENT ATTORNEY CITY | Homewood |
| AGENT ATTORNEY STATE | AL |
| AGENT ATTORNEY POSTAL CODE | 35209 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12058718084 |
| AGENT ATTORNEY EMAIL ADDRESS | Daizy@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 | 470 Taylor Road Suite 310 |
| LCA CASE WORKLOC1 CITY | Montgomery |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | AL |
| WORKSITE POSTAL CODE | 36117 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B 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 |
