| LCA CASE NUMBER | I-200-20167-653083 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-15 |
| DECISION DATE | 2020-06-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Director of Palliative Care |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 1 |
| 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 | 14437258719 |
| 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 Pulaksi 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 | 14107726119 |
| EMPLOYER POC EMAIL | elissa.d.davidson@medstar.net |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Bennett |
| AGENT ATTORNEY FIRST NAME | Kimberly |
| AGENT ATTORNEY ADDRESS1 | 10701 Parkridge Blvd. |
| AGENT ATTORNEY ADDRESS2 | Ste. 300 |
| AGENT ATTORNEY CITY | Reston |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20191 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17034838300.0 |
| AGENT ATTORNEY EMAIL ADDRESS | Kimberly.Bennett@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Pennsylvania |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | MedStar Harbor Hospital |
| WORKSITE ADDRESS2 | 3001 South Hanover St. |
| LCA CASE WORKLOC1 CITY | Baltimore |
| WORKSITE COUNTY | BALTIMORE |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 21225 |
| LCA CASE WAGE RATE FROM | 103.36 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 82.17 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| 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 |
