| LCA CASE NUMBER | I-200-21130-300521 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-10 |
| DECISION DATE | 2021-05-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Nephrologist) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND, LLC |
| TRADE NAME DBA | MEDSTAR SHAH MEDICAL GROUP |
| EMPLOYER ADDRESS1 | 24035 Three Notch Road |
| EMPLOYER CITY | Hollywood |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 20636 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13013737905 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Buster |
| EMPLOYER POC FIRST NAME | Alan |
| EMPLOYER POC MIDDLE NAME | A. |
| EMPLOYER POC JOB TITLE | FACHE, CMPE, COO |
| EMPLOYER POC ADDRESS 1 | 24035 Three Notch Road |
| EMPLOYER POC CITY | Hollywood |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 20636 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13013737905 |
| EMPLOYER POC EMAIL | alan.buster@medstar.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Salvetti |
| AGENT ATTORNEY FIRST NAME | Jamie |
| AGENT ATTORNEY MIDDLE NAME | Lucinda |
| 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 | 17038850634 |
| AGENT ATTORNEY EMAIL ADDRESS | jsalvetti@salvettilaw.com |
| LAWFIRM NAME BUSINESS NAME | The Salvetti Law Group, PLLC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Pennsylvania |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6710 Oxon Hill Road |
| WORKSITE ADDRESS2 | Suite 200 |
| LCA CASE WORKLOC1 CITY | Oxon Hill |
| WORKSITE COUNTY | PRINCE GEORGE'S |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 20745 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 141315 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 9 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
