| LCA CASE NUMBER | I-200-21148-353334 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-28 |
| DECISION DATE | 2021-06-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-09 |
| END DATE | 2024-08-08 |
| 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 | West Tennessee Healthcare |
| TRADE NAME DBA | West Tennessee Medical Group |
| EMPLOYER ADDRESS1 | 620 Skyline Drive |
| EMPLOYER CITY | Jackson |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 38301 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17315414457 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Ross |
| EMPLOYER POC FIRST NAME | James |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 620 Skyline Drive |
| EMPLOYER POC CITY | Jackson |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 38301 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17315414457 |
| EMPLOYER POC EMAIL | beth.rainey@wth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Taub |
| AGENT ATTORNEY FIRST NAME | Elissa |
| AGENT ATTORNEY ADDRESS1 | 1028 Oakhaven Rd |
| AGENT ATTORNEY CITY | Memphis |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 38119 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19016826455 |
| AGENT ATTORNEY EMAIL ADDRESS | beth.rainey@wth.org |
| LAWFIRM NAME BUSINESS NAME | Siskind Susser PC |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 620 Skyline Rd |
| LCA CASE WORKLOC1 CITY | Jackson |
| WORKSITE COUNTY | MADISON |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 38301 |
| LCA CASE WAGE RATE FROM | 292500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Schaffler |
| PREPARER FIRST NAME | Macrae |
| PREPARER BUSINESS NAME | Siskind Susser PC |
| PREPARER EMAIL | mschaffler@visalaw.com |
