| LCA CASE NUMBER | I-200-21263-593653 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-20 |
| DECISION DATE | 2021-09-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-01 |
| END DATE | 2024-12-31 |
| 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 | CHARLESTON INTERNAL MEDICINE, INC. |
| EMPLOYER ADDRESS1 | 3701 MACCORKLE AVENUE, S.E. |
| EMPLOYER CITY | CHARLESTON |
| EMPLOYER STATE | WV |
| EMPLOYER POSTAL CODE | 25304 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13047202345 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | BOWDEN |
| EMPLOYER POC FIRST NAME | ROY |
| EMPLOYER POC MIDDLE NAME | THOMAS |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS1 | 3701 MACCORKLE AVENUE, S.E. |
| EMPLOYER POC CITY | CHARLESTON |
| EMPLOYER POC STATE | WV |
| EMPLOYER POC POSTAL CODE | 25304 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13047202345 |
| EMPLOYER POC EMAIL | drtom1@suddenlink.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | DUTTON |
| AGENT ATTORNEY FIRST NAME | ANDREW |
| AGENT ATTORNEY ADDRESS1 | 243 NEW HYDE PARK ROAD |
| AGENT ATTORNEY CITY | GARDEN CITY |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11530 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15163083670 |
| AGENT ATTORNEY EMAIL ADDRESS | adutton@andrewduttonlaw.com |
| LAWFIRM NAME BUSINESS NAME | ANDREW DUTTON, ESQ., P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NEW YORK STATE COURT OF APPEALS |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3701 MACCORKLE AVENUE, S.E. |
| LCA CASE WORKLOC1 CITY | CHARLESTON |
| WORKSITE COUNTY | KANAWHA |
| LCA CASE WORKLOC1 STATE | WV |
| WORKSITE POSTAL CODE | 25304 |
| LCA CASE WAGE RATE FROM | 225000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 177382 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
