| LCA CASE NUMBER | I-200-21182-440313 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-01 |
| DECISION DATE | 2021-07-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Chief of Endocrine Division, Faculty |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-12 |
| END DATE | 2024-07-11 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | MedStar Medical Group II LLC |
| TRADE NAME DBA | MedStar Medical Group |
| EMPLOYER ADDRESS1 | 9600 Pulaski Park Drive |
| EMPLOYER CITY | Baltimore |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21220 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14105743000 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Davidson |
| EMPLOYER POC FIRST NAME | Elissa |
| EMPLOYER POC MIDDLE NAME | D. |
| EMPLOYER POC JOB TITLE | Director, Physician Recruitment & Onboarding |
| EMPLOYER POC ADDRESS1 | 9600 Pulaski Park Drive |
| EMPLOYER POC CITY | Baltimore |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21220 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14105743000 |
| EMPLOYER POC EMAIL | elissa.d.davidson@medstar.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Read IV |
| AGENT ATTORNEY FIRST NAME | Forrest |
| AGENT ATTORNEY ADDRESS1 | 10701 Parkridge Blvd. |
| AGENT ATTORNEY ADDRESS2 | Ste. 300 |
| AGENT ATTORNEY CITY | Reston |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20191 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17034838300 |
| AGENT ATTORNEY EMAIL ADDRESS | FORREST.READ@JACKSONLEWIS.COM |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court of North Carolina |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3001 S Hanover St. |
| LCA CASE WORKLOC1 CITY | Baltimore |
| WORKSITE COUNTY | BALTIMORE |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 21225 |
| LCA CASE WAGE RATE FROM | 182000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 148616 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bennett |
| PREPARER FIRST NAME | Kimberly |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | kimberly.bennett@jacksonlewis.com |
