| LCA CASE NUMBER | I-200-20160-633704 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-08 |
| DECISION DATE | 2020-06-15 |
| 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 | 2020-06-08 |
| END DATE | 2023-06-07 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Southeastern Physician Services, PC |
| EMPLOYER ADDRESS1 | 265 Brookview Centre Way |
| EMPLOYER CITY | Knoxville |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37919 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18656931000 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Dabbs |
| EMPLOYER POC FIRST NAME | Randal |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 265 Brookview Centre Way |
| EMPLOYER POC ADDRESS2 | Suite 400 |
| EMPLOYER POC CITY | Knoxville |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37919 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18656931000 |
| EMPLOYER POC EMAIL | randal_dabbs@teamhealth.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Taub |
| AGENT ATTORNEY FIRST NAME | Elissa |
| AGENT ATTORNEY ADDRESS1 | 1028 Oakhaven Rd |
| AGENT ATTORNEY CITY | Memphis |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 38119 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19016826455.0 |
| AGENT ATTORNEY EMAIL ADDRESS | etaub@visalaw.com |
| LAWFIRM NAME BUSINESS NAME | Siskind Susser PC |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Jackson Purchase Medical Center |
| WORKSITE ADDRESS1 | 1099 Medical Center Dr |
| LCA CASE WORKLOC1 CITY | Mayfield |
| WORKSITE COUNTY | GRAVES |
| LCA CASE WORKLOC1 STATE | KY |
| WORKSITE POSTAL CODE | 42066 |
| LCA CASE WAGE RATE FROM | 145.0 |
| LCA CASE WAGE RATE TO | 155.0 |
| 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 | Schaffler |
| PREPARER FIRST NAME | Macrae |
| PREPARER BUSINESS NAME | Siskind Susser PC |
| PREPARER EMAIL | mschaffler@visalaw.com |
