| LCA CASE NUMBER | I-200-21125-288756 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-05 |
| DECISION DATE | 2021-05-12 |
| 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 | 2021-08-01 |
| END DATE | 2024-07-31 |
| 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 | Jackson Hospital & Clinic, Inc. |
| EMPLOYER ADDRESS1 | 1725 Pine Street |
| EMPLOYER CITY | Montgomery |
| EMPLOYER STATE | AL |
| EMPLOYER POSTAL CODE | 36106 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13342938000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Williams |
| EMPLOYER POC FIRST NAME | Courtney |
| EMPLOYER POC MIDDLE NAME | M. |
| EMPLOYER POC JOB TITLE | Clinical Operations Manager - Hospitalists |
| EMPLOYER POC ADDRESS 1 | 1725 Pine Street |
| EMPLOYER POC CITY | Montgomery |
| EMPLOYER POC STATE | AL |
| EMPLOYER POC POSTAL CODE | 36106 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13342936849 |
| EMPLOYER POC EMAIL | courtney.williams@jackson.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sutherland |
| AGENT ATTORNEY FIRST NAME | Emma |
| AGENT ATTORNEY MIDDLE NAME | Jane |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 5279 |
| AGENT ATTORNEY CITY | Herndon |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20172 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17038850638 |
| AGENT ATTORNEY EMAIL ADDRESS | esutherland@salvettilaw.com |
| LAWFIRM NAME BUSINESS NAME | The Salvetti Law Group, PLLC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Virginia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1725 Pine Street |
| LCA CASE WORKLOC1 CITY | Montgomery |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | AL |
| WORKSITE POSTAL CODE | 36106 |
| LCA CASE WAGE RATE FROM | 240240 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 139048 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | P-100-20211-741059 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
