| LCA CASE NUMBER | I-200-21098-207640 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-08 |
| DECISION DATE | 2021-04-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PEDIATRIC HOSPITALIST |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-05-10 |
| END DATE | 2024-05-09 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | DELTA HEALTH SYSTEM- CLARKSDALE MEDICAL GROUP |
| EMPLOYER ADDRESS1 | 785 OHIO AVENUE |
| EMPLOYER ADDRESS2 | SUITE 3B |
| EMPLOYER CITY | CLARKSDALE |
| EMPLOYER STATE | MS |
| EMPLOYER POSTAL CODE | 38614 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16626248000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | CHRISTENSEN |
| EMPLOYER POC FIRST NAME | SCOTT |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS 1 | 785 OHIO AVENUE, SUITE 3B |
| EMPLOYER POC CITY | CLARKSDALE |
| EMPLOYER POC STATE | MS |
| EMPLOYER POC POSTAL CODE | 38614 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16626248000 |
| EMPLOYER POC EMAIL | jlevingston@deltahealthsystem.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | WALKER |
| AGENT ATTORNEY FIRST NAME | BARRY |
| AGENT ATTORNEY MIDDLE NAME | JOE |
| AGENT ATTORNEY ADDRESS1 | P O BOX 1023 |
| AGENT ATTORNEY CITY | TUPELO |
| AGENT ATTORNEY STATE | MS |
| AGENT ATTORNEY POSTAL CODE | 38802 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16628410629 |
| AGENT ATTORNEY EMAIL ADDRESS | danane@walker-immigration.com |
| LAWFIRM NAME BUSINESS NAME | BARRY J. WALKER, ATTY P A |
| STATE OF HIGHEST COURT | MS |
|
| NAME OF HIGHEST STATE COURT | STATE SUPREME COURT OF MISSISSIPPI |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 785 OHIO AVENUE, SUITE B |
| LCA CASE WORKLOC1 CITY | CLARKSDALE |
| WORKSITE COUNTY | COAHOMA |
| LCA CASE WORKLOC1 STATE | MS |
| WORKSITE POSTAL CODE | 38614 |
| LCA CASE WAGE RATE FROM | 215000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 80787 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | WALKER |
| PREPARER FIRST NAME | BARRY |
| PREPARER MIDDLE INITIAL | JOE |
| PREPARER BUSINESS NAME | BARRY J WALKER ATTY P A |
| PREPARER EMAIL | danane@walker-immigration.com |
