| LCA CASE NUMBER | I-200-21336-740187 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-02 |
| DECISION DATE | 2021-12-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | GENERAL SURGEON |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| 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 | APPALACHIAN MOUNTAINS MEDICAL, LLC |
| EMPLOYER ADDRESS1 | 223 DRY HILL ROAD |
| EMPLOYER CITY | BECKLEY |
| EMPLOYER STATE | WV |
| EMPLOYER POSTAL CODE | 25801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16812077351 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | KELLY |
| EMPLOYER POC FIRST NAME | MICHAEL |
| EMPLOYER POC MIDDLE NAME | ANTHONY |
| EMPLOYER POC JOB TITLE | OPERATIONS MANAGER |
| EMPLOYER POC ADDRESS1 | 223 DRY HILL RD |
| EMPLOYER POC CITY | BECKLEY |
| EMPLOYER POC STATE | WV |
| EMPLOYER POC POSTAL CODE | 25801 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13047166227 |
| EMPLOYER POC EMAIL | Tony.Kelly@amm-llc.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | PEDERSON |
| AGENT ATTORNEY FIRST NAME | JAN |
| AGENT ATTORNEY ADDRESS1 | 6931 Arlington Road |
| AGENT ATTORNEY ADDRESS2 | Suite 450 |
| AGENT ATTORNEY CITY | Bethesda |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 20814 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12405830003 |
| AGENT ATTORNEY EMAIL ADDRESS | jan@wcslaw.com |
| LAWFIRM NAME BUSINESS NAME | Wright, Constable & Skeen, LLP |
| STATE OF HIGHEST COURT | DC |
|
| NAME OF HIGHEST STATE COURT | Supreme Court of United States |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | WELCH COMMUNITY HOSPITAL |
| WORKSITE ADDRESS1 | 454 MCDOWELL ST |
| LCA CASE WORKLOC1 CITY | WELCH |
| WORKSITE COUNTY | MCDOWELL |
| LCA CASE WORKLOC1 STATE | WV |
| WORKSITE POSTAL CODE | 24801 |
| LCA CASE WAGE RATE FROM | 300000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 57470 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
