| LCA CASE NUMBER | I-200-21106-232095 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-16 |
| DECISION DATE | 2021-04-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Resident (ENT Fellow) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-08 |
| END DATE | 2024-07-07 |
| 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 | MedStar - Georgetown Medical Center, Inc. |
| TRADE NAME DBA | MedStar Georgetown University Hospital (MGUH) |
| EMPLOYER ADDRESS1 | 3800 Reservoir Road NW |
| EMPLOYER ADDRESS2 | 201 E University Pkwy, Baltimore, MD 21218 |
| EMPLOYER CITY | Washington |
| EMPLOYER STATE | DC |
| EMPLOYER POSTAL CODE | 20007 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14105546755 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Gilbert |
| EMPLOYER POC FIRST NAME | Jody |
| EMPLOYER POC JOB TITLE | Associate Director, Graduate Medical Education |
| EMPLOYER POC ADDRESS 1 | 201 E University Parkway |
| EMPLOYER POC ADDRESS 2 | 33rd St Bldg, Suite 526 |
| EMPLOYER POC CITY | Baltimore |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21218 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14105546755 |
| EMPLOYER POC EMAIL | jody.gilbert@medstar.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | READ IV |
| AGENT ATTORNEY FIRST NAME | FORREST |
| 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 | NC Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | MedStar Union Memorial Hospital |
| WORKSITE ADDRESS2 | 201 E University Parkway |
| LCA CASE WORKLOC1 CITY | Baltimore |
| WORKSITE COUNTY | BALTIMORE CITY |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 21218 |
| LCA CASE WAGE RATE FROM | 77000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 71996.23 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020 |
| PW SURVEY PUBLISHER | MedStar Georgetown University Hospital |
| PW SURVEY NAME | MGUH Employer's Survey |
| 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 |
