| LCA CASE NUMBER | I-200-21047-078917 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-16 |
| DECISION DATE | 2021-02-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | EMERGENCY MEDICINE PHYSICIAN |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-02 |
| END DATE | 2024-06-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | USACS Medical Group, Ltd. |
| EMPLOYER ADDRESS1 | 4535 DRESSLER ROAD, N.W. |
| EMPLOYER CITY | CANTON |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 44718 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13304924559 |
| EMPLOYER PHONE EXT | 1314 |
| NAICS CODE | 6213 |
| EMPLOYER POC LAST NAME | FRY |
| EMPLOYER POC FIRST NAME | HOPE |
| EMPLOYER POC JOB TITLE | APP CREDENTIALING COORDINATOR |
| EMPLOYER POC ADDRESS 1 | 4535 Dressler Rd. N.W. |
| EMPLOYER POC CITY | Canton |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 44718 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13304924559 |
| EMPLOYER POC PHONE EXT | 1314 |
| EMPLOYER POC EMAIL | Fryh@usacs.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | PEDERSON |
| AGENT ATTORNEY FIRST NAME | Jan |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 1800 MASSACHUSETTS AVE., NW |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | WASHINGTON |
| AGENT ATTORNEY STATE | DC |
| AGENT ATTORNEY POSTAL CODE | 20036 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12024830053 |
| AGENT ATTORNEY PHONE EXT | 104 |
| AGENT ATTORNEY EMAIL ADDRESS | jan@maggio-kattar.com |
| LAWFIRM NAME BUSINESS NAME | MAGGIO KATTAR |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF THE UNITED STATES |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 12500 WILLOWBROOK ROAD |
| LCA CASE WORKLOC1 CITY | CUMBERLAND |
| WORKSITE COUNTY | ALLEGANY |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 21502 |
| LCA CASE WAGE RATE FROM | 468000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| 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 |
