| LCA CASE NUMBER | I-200-21139-325459 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-05-19 |
| DECISION DATE | 2021-11-19 |
| ORIGINAL CERT DATE | 2021-05-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-05 |
| END DATE | 2024-08-04 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Adventist Healthcare, Inc. |
| EMPLOYER ADDRESS1 | 820 W. Diamond Ave. |
| EMPLOYER ADDRESS2 | Suite 600 |
| EMPLOYER CITY | Gaithersburg |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 20878 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13013153402 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | VARGAS |
| EMPLOYER POC FIRST NAME | CARLOS |
| EMPLOYER POC MIDDLE NAME | A |
| EMPLOYER POC JOB TITLE | VICE PRESIDENT, HUMAN RESOURCES & TECHNOLOGY |
| EMPLOYER POC ADDRESS1 | 820 W. DIAMOND DRIVE |
| EMPLOYER POC CITY | GAITHERSBURG |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 20878 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13013153402 |
| EMPLOYER POC EMAIL | cvargas@adventisthealthcare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Robinson Kirlew |
| AGENT ATTORNEY FIRST NAME | Myrtle |
| AGENT ATTORNEY MIDDLE NAME | C |
| AGENT ATTORNEY ADDRESS1 | 7731 Belle Point Drive |
| AGENT ATTORNEY CITY | Greenbelt |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 20770 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13016143330 |
| AGENT ATTORNEY EMAIL ADDRESS | myrtle@robinsonkirlew.com |
|
| LAWFIRM NAME BUSINESS NAME | Robinson Kirlew & Associates, P.C. |
| STATE OF HIGHEST COURT | MD |
| NAME OF HIGHEST STATE COURT | Maryland Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 9901 MEDICAL CENTER DRIVE |
| LCA CASE WORKLOC1 CITY | ROCKVILLE |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 20850 |
| LCA CASE WAGE RATE FROM | 235000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 195333 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Robinson Kirlew |
| PREPARER FIRST NAME | Myrtle |
| PREPARER MIDDLE INITIAL | C |
| PREPARER BUSINESS NAME | Robinson Kirlew & Associates, P.C. |
| PREPARER EMAIL | myrtle@robinsonkirlew.com |
