| LCA CASE NUMBER | I-200-23083-875536 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-03-24 |
| DECISION DATE | 2023-03-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | HOSPITALIST |
| SOC CODE | 29-1229.02 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-01 |
| END DATE | 2026-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | MEDSTAR MEDICAL GROUP II, LLC |
| EMPLOYER ADDRESS1 | 10980 GRANTCHESTER WAY |
| EMPLOYER CITY | COLUMBIA |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21044 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14437258719 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | DAVIDSON |
| EMPLOYER POC FIRST NAME | ELISSA |
| EMPLOYER POC MIDDLE NAME | D |
| EMPLOYER POC JOB TITLE | SENIOR DIRECTOR, PHYSICIAN RECRUITMENT & ONBOARDING |
| 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 IV |
| AGENT ATTORNEY FIRST NAME | Forrest |
| AGENT ATTORNEY ADDRESS1 | 3737 GLENWOOD AVENUE |
| AGENT ATTORNEY ADDRESS2 | SUITE 450 |
| AGENT ATTORNEY CITY | RALEIGH |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27612 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | NORTH CAROLINA |
| AGENT ATTORNEY PHONE | 19197606460 |
| AGENT ATTORNEY PHONE EXT | 6468 |
| 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 | NC Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | MedStar St. Mary’s Hospital |
| WORKSITE ADDRESS2 | 25500 Point Lookout Rd |
| LCA CASE WORKLOC1 CITY | Leonardtown |
| WORKSITE COUNTY | ST MARY'S |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 20650 |
| LCA CASE WAGE RATE FROM | 255000 |
| LCA CASE WAGE RATE TO | 266840 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 218150 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | READ |
| PREPARER FIRST NAME | FORREST |
| PREPARER BUSINESS NAME | JACKSON LEWIS, P.C. |
| PREPARER EMAIL | ASHLEY.MITCHELL@JACKSONLEWIS.COM |
