| LCA CASE NUMBER | I-200-20153-616668 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-01 |
| DECISION DATE | 2020-06-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2021-06-30 |
| 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 | IMC-Hospitalist, LLC |
| EMPLOYER ADDRESS1 | 5 Mobile Infirmary Circle |
| EMPLOYER CITY | Mobile |
| EMPLOYER STATE | AL |
| EMPLOYER POSTAL CODE | 36607 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12514351300 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Sanders |
| EMPLOYER POC FIRST NAME | R. Barre |
| EMPLOYER POC JOB TITLE | Executive VP of Physician Services |
| EMPLOYER POC ADDRESS1 | 5 Mobile Infirmary Circle |
| EMPLOYER POC CITY | Mobile |
| EMPLOYER POC STATE | AL |
| EMPLOYER POC POSTAL CODE | 36607 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12514351300 |
| EMPLOYER POC EMAIL | barre.sanders@infirmaryhealth.org |
| AGENT REPRESENTING EMPLOYER | Y |
| 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 | 12058718084.0 |
| 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 | N |
| WORKSITE ADDRESS1 | 750 Morphy Avenue |
| LCA CASE WORKLOC1 CITY | Fairhope |
| WORKSITE COUNTY | BALDWIN |
| LCA CASE WORKLOC1 STATE | AL |
| WORKSITE POSTAL CODE | 36532 |
| LCA CASE WAGE RATE FROM | 100.0 |
| 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 |
| PREPARER LAST NAME | Tedrow |
| PREPARER FIRST NAME | Klari |
| PREPARER MIDDLE INITIAL | B |
| PREPARER BUSINESS NAME | Klari Tedrow, LLC |
| PREPARER EMAIL | ktedrow@usimmigrant.net |
