| LCA CASE NUMBER | I-200-20147-599917 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-26 |
| DECISION DATE | 2020-06-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-14 |
| END DATE | 2023-09-13 |
| 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 | AHN Medical Group, LLC |
| EMPLOYER ADDRESS1 | 4535 Dressler Road NW |
| EMPLOYER CITY | Canton |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44718 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18556870618 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Fry |
| EMPLOYER POC FIRST NAME | Hope |
| EMPLOYER POC JOB TITLE | APP Credentialing Coordinator |
| EMPLOYER POC ADDRESS1 | 4535 Dressler Rd NW |
| EMPLOYER POC CITY | Canton |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44718 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13309944213 |
| EMPLOYER POC EMAIL | fryh@usacs.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Jolic |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 6500 Rockside Road |
| AGENT ATTORNEY ADDRESS2 | Suite 180 |
| AGENT ATTORNEY CITY | Independence |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44131 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12163289878.0 |
| AGENT ATTORNEY PHONE EXT | 107.0 |
| AGENT ATTORNEY EMAIL ADDRESS | jolic@visaskk.com |
| LAWFIRM NAME BUSINESS NAME | Sharon and Kalnoki LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Indiana Regional Medical Center |
| WORKSITE ADDRESS1 | 835 Hospital Road |
| LCA CASE WORKLOC1 CITY | Indiana |
| WORKSITE COUNTY | INDIANA |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 15701 |
| LCA CASE WAGE RATE FROM | 130.0 |
| 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 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
