| LCA CASE NUMBER | I-200-19281-075818 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-08 |
| DECISION DATE | 2019-10-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | HOSPITALIST |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-01-24 |
| END DATE | 2023-01-23 |
| 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 | OPTIMED HOSPITALISTS, PLLC |
| EMPLOYER ADDRESS1 | 108 S. MAIN ST. |
| EMPLOYER ADDRESS2 | SUITE F |
| EMPLOYER CITY | DAVIDSON |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 28036 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +17049975525 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | KAPLAN |
| EMPLOYER POC FIRST NAME | SUSAN |
| EMPLOYER POC JOB TITLE | PROCESS ADMINISTRATOR |
| EMPLOYER POC ADDRESS1 | 108 S. MAIN ST. |
| EMPLOYER POC ADDRESS2 | SUITE F |
| EMPLOYER POC CITY | DAVIDSON |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 28036 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +17049975525 |
| EMPLOYER POC EMAIL | KAPLAN@OPTIMEDDOCTORS.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | BADMUS |
| AGENT ATTORNEY FIRST NAME | ANN |
| AGENT ATTORNEY MIDDLE NAME | MASSEY |
| AGENT ATTORNEY ADDRESS1 | 2600 NETWORK BOULEVARD |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | FRISCO |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75034 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12144722161.0 |
| AGENT ATTORNEY EMAIL ADDRESS | ANN.BADMUS@SOLIDCOUNSEL.COM |
| LAWFIRM NAME BUSINESS NAME | SCHEEF & STONE, LLP |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | IREDELL MEMORIAL HOSPITAL |
| WORKSITE ADDRESS1 | 557 BROOKDALE DR. |
| LCA CASE WORKLOC1 CITY | STATESVILLE |
| WORKSITE COUNTY | IREDELL |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 28677 |
| LCA CASE WAGE RATE FROM | 133.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100.0 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Rodriguez-Story |
| PREPARER FIRST NAME | Celsa |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Scheef & Stone, LLP |
| PREPARER EMAIL | celsa.story@solidcounsel.com |
