| LCA CASE NUMBER | I-200-21029-042430 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-29 |
| DECISION DATE | 2021-02-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-31 |
| END DATE | 2024-07-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Maryland Medical First, P.A. |
| EMPLOYER ADDRESS1 | 8901 Clement Avenue |
| EMPLOYER CITY | Parkville |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21234 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14106614670 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Bharaj |
| EMPLOYER POC FIRST NAME | Narender |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 8901 Clement Avenue |
| EMPLOYER POC CITY | Parkville |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21234 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14106614670 |
| EMPLOYER POC EMAIL | soorma_5@yahoo.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hitz |
| AGENT ATTORNEY FIRST NAME | Alison |
| AGENT ATTORNEY MIDDLE NAME | P. |
| AGENT ATTORNEY ADDRESS1 | One Embarcadero Center |
| AGENT ATTORNEY ADDRESS2 | Ste. 400 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14159848563 |
| AGENT ATTORNEY EMAIL ADDRESS | ahitz@ClarkHill.com |
| LAWFIRM NAME BUSINESS NAME | Clark Hill PLC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | ManorCare Health Services – Rossville |
| WORKSITE ADDRESS1 | 6600 Ridge Road |
| LCA CASE WORKLOC1 CITY | Baltimore |
| WORKSITE COUNTY | BALTIMORE |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 21237 |
| LCA CASE WAGE RATE FROM | 225000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 136136 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 10 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Hitz |
| PREPARER FIRST NAME | Alison |
| PREPARER MIDDLE INITIAL | P. |
| PREPARER BUSINESS NAME | Clark Hill PLC |
| PREPARER EMAIL | ahitz@ClarkHill.com |
