| LCA CASE NUMBER | I-200-21014-012980 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-14 |
| DECISION DATE | 2021-01-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff Physician (Pulmonary/Critical Care) |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-20 |
| END DATE | 2024-01-19 |
| 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 | 10980 Grantchester Way |
| EMPLOYER CITY | Columbia |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21044 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12024249354 |
| 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 and Onboarding |
| EMPLOYER POC ADDRESS 1 | 10980 Grantchester Way |
| EMPLOYER POC CITY | Columbia |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21044 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14105743000 |
| EMPLOYER POC EMAIL | elissa.d.davidson@medstar.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | READ IV |
| AGENT ATTORNEY FIRST NAME | FORREST |
| AGENT ATTORNEY MIDDLE NAME | G. |
| 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 |
| AGENT ATTORNEY PHONE EXT | 6468 |
| 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 | Supreme Court of North Carolina |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | MedStar Washington Hospital Center |
| WORKSITE ADDRESS2 | 110 Irving Street NW |
| LCA CASE WORKLOC1 CITY | Washington |
| WORKSITE COUNTY | DISTRICT OF COLUMBIA |
| LCA CASE WORKLOC1 STATE | DC |
| WORKSITE POSTAL CODE | 20010 |
| LCA CASE WAGE RATE FROM | 284000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 244150 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Read IV |
| PREPARER FIRST NAME | Forrest |
| PREPARER MIDDLE INITIAL | G. |
| PREPARER BUSINESS NAME | Jackson Lewis, P.C. |
| PREPARER EMAIL | robert.karol@jacksonlewis.com |
