| LCA CASE NUMBER | I-200-21020-023041 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-20 |
| DECISION DATE | 2021-01-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-25 |
| END DATE | 2024-01-24 |
| 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 | 14105743000 |
| 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 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 |
| AGENT ATTORNEY FIRST NAME | Forrest |
| AGENT ATTORNEY ADDRESS1 | 10701 Parkridge Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | Reston |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20191 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | VIRGINIA |
| AGENT ATTORNEY PHONE | 17034838300 |
| 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 Southern Maryland Hospital Center |
| WORKSITE ADDRESS2 | 7503 Surratts Road |
| LCA CASE WORKLOC1 CITY | Clinton |
| WORKSITE COUNTY | PRINCE GEORGE'S |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 20735 |
| LCA CASE WAGE RATE FROM | 245000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 184662 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 | Soltis |
| PREPARER FIRST NAME | Rachel |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | rachel.soltis@jacksonlewis.com |
