| LCA CASE NUMBER | I-200-19273-498565 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-09-30 |
| DECISION DATE | 2019-10-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | HOSPITALIST PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC TITLE | PHYSICIANS AND SURGEONS, ALL OTHER |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-10-22 |
| END DATE | 2022-10-21 |
| 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 | HOUSTON COUNTY HEALTHCARE AUTHORITY |
| TRADE NAME DBA | SOUTHEAST HEALTH |
| EMPLOYER ADDRESS1 | 1108 ROSS CLARK CIRCLE |
| EMPLOYER CITY | DOTHAN |
| EMPLOYER STATE | AL |
| EMPLOYER POSTAL CODE | 36301 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 3347938145 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | SUTTON, III FACHE |
| EMPLOYER POC FIRST NAME | RICHARD |
| EMPLOYER POC MIDDLE NAME | O. |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS1 | 1108 ROSS CLARK CIRCLE |
| EMPLOYER POC CITY | DOTHAN |
| EMPLOYER POC STATE | AL |
| EMPLOYER POC POSTAL CODE | 36301 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 3347938145 |
| EMPLOYER POC EMAIL | SBPURVIS@SAMC.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | KLARI |
| AGENT ATTORNEY FIRST NAME | KLARI |
| AGENT ATTORNEY MIDDLE NAME | BAUER |
| 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 | 2058718084.0 |
| AGENT ATTORNEY EMAIL ADDRESS | JILL@USIMMIGRANT.NET |
| LAWFIRM NAME BUSINESS NAME | KLARI B. TEDROW, LLC |
| STATE OF HIGHEST COURT | AL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF ALABAMA |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1108 Ross Clark Circle |
| LCA CASE WORKLOC1 CITY | Dothan |
| WORKSITE COUNTY | Houston |
| LCA CASE WORKLOC1 STATE | AL |
| WORKSITE POSTAL CODE | 36301 |
| LCA CASE WAGE RATE FROM | 110.0 |
| LCA CASE WAGE RATE TO | 110.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100.0 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | V |
| PW OES YEAR | 2019 |
| PW OTHER SOURCE | OES |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| 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 |
