| LCA CASE NUMBER | I-200-21172-414549 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-21 |
| DECISION DATE | 2021-06-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | EMERGENCY MEDICINE PHYSICIAN |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-01 |
| END DATE | 2024-03-31 |
| 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 | PRESTON MEMORIAL HOSPITAL CORPORATION |
| EMPLOYER ADDRESS1 | 150 MEMORIAL DRIVE |
| EMPLOYER CITY | KINGWOOD |
| EMPLOYER STATE | WV |
| EMPLOYER POSTAL CODE | 26537 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13043294704 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | LOCKWOOD |
| EMPLOYER POC FIRST NAME | MELISSA |
| EMPLOYER POC JOB TITLE | CHIEF ADMINISTRATIVE OFFICER |
| EMPLOYER POC ADDRESS 1 | 150 MEMORIAL DRIVE |
| EMPLOYER POC CITY | KINGWOOD |
| EMPLOYER POC STATE | WV |
| EMPLOYER POC POSTAL CODE | 26537 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13043294704 |
| EMPLOYER POC EMAIL | LOCKWOODM@MONHEALTHSYS.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | WILK |
| AGENT ATTORNEY FIRST NAME | MICHAEL |
| AGENT ATTORNEY MIDDLE NAME | THOMAS |
| AGENT ATTORNEY ADDRESS1 | 1 HEMPHILL PLACE |
| AGENT ATTORNEY ADDRESS2 | SUITE 202 |
| AGENT ATTORNEY CITY | MALTA |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 12020 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15188861354 |
| AGENT ATTORNEY EMAIL ADDRESS | MWILK@TMGVISA.COM |
| LAWFIRM NAME BUSINESS NAME | TMG VISA LLC |
| STATE OF HIGHEST COURT | DC |
|
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 150 MEMORIAL DRIVE |
| LCA CASE WORKLOC1 CITY | KINGWOOD |
| WORKSITE COUNTY | PRESTON |
| LCA CASE WORKLOC1 STATE | WV |
| WORKSITE POSTAL CODE | 26537 |
| LCA CASE WAGE RATE FROM | 342720 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 116584 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 | WILK |
| PREPARER FIRST NAME | MICHAEL |
| PREPARER MIDDLE INITIAL | T |
| PREPARER BUSINESS NAME | TMG VISA LLC |
| PREPARER EMAIL | MWILK@TMGVISA.COM |
