| LCA CASE NUMBER | I-200-23052-788641 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-02-21 |
| DECISION DATE | 2023-02-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1249.00 |
| SOC TITLE | Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-31 |
| END DATE | 2026-07-30 |
| 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 | MedStar Medical Group II, LLC |
| TRADE NAME DBA | MedStar Medical Group |
| EMPLOYER ADDRESS1 | 10980 Grantchester Way |
| EMPLOYER CITY | Columbia |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21044 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14105743000 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Davidson |
| EMPLOYER POC FIRST NAME | Elissa |
| EMPLOYER POC JOB TITLE | Sr. Director, Physician Recruitment & Onboarding, MMG |
| EMPLOYER POC ADDRESS1 | 10980 Grantchester Way |
| EMPLOYER POC CITY | Columbia |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21044 |
| 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 |
| AGENT ATTORNEY FIRST NAME | Forrest |
| AGENT ATTORNEY ADDRESS1 | 10701 Parkridge Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | Reston |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20191 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | VIRGINIA |
| 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 | 12 MedStar Blvd. |
| WORKSITE ADDRESS2 | Ste. 220 |
| LCA CASE WORKLOC1 CITY | Bel Air |
| WORKSITE COUNTY | HARFORD |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 21015 |
| LCA CASE WAGE RATE FROM | 300000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | Bennett |
| PREPARER FIRST NAME | Kimberly |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | kimberly.bennett@jacksonlewis.com |
