| LCA CASE NUMBER | I-200-19347-196223 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-13 |
| DECISION DATE | 2019-12-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-12-22 |
| END DATE | 2022-12-21 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | MedStar Medical Group II LLC |
| TRADE NAME DBA | MedStar Medical Group |
| EMPLOYER ADDRESS1 | 9600 Pulaski Park Drive |
| EMPLOYER CITY | Baltimore |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21220 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +14105743000 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Davidson |
| EMPLOYER POC FIRST NAME | Elissa |
| EMPLOYER POC MIDDLE NAME | D |
| EMPLOYER POC JOB TITLE | Director, Physician Recruitment & Onboarding |
| EMPLOYER POC ADDRESS1 | 9600 Pulaski Park Drive |
| EMPLOYER POC CITY | Baltimore |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21220 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +14105743000 |
| EMPLOYER POC EMAIL | elissa.d.davidson@medstar.net |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | READ IV |
| AGENT ATTORNEY FIRST NAME | FORREST |
| AGENT ATTORNEY ADDRESS1 | 3737 GLENWOOD AVENUE |
| AGENT ATTORNEY ADDRESS2 | SUITE 450 |
| AGENT ATTORNEY CITY | RALEIGH |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27612 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | NORTH CAROLINA |
| AGENT ATTORNEY PHONE | 19197606460.0 |
| AGENT ATTORNEY PHONE EXT | 6468.0 |
| AGENT ATTORNEY EMAIL ADDRESS | FORREST.READ@JACKSONLEWIS.COM |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis, P.C. |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | NC |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | MedStar St Mary's Hospital |
| WORKSITE ADDRESS2 | 25500 Point Lookout Road |
| LCA CASE WORKLOC1 CITY | Leonardtown |
| WORKSITE COUNTY | ST MARY'S |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 20650 |
| LCA CASE WAGE RATE FROM | 255000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 220210.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 Employment |
| PREPARER LAST NAME | Read IV |
| PREPARER FIRST NAME | Forrest |
| PREPARER MIDDLE INITIAL | G |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | forrest.read@jacksonlewis.com |
