| LCA CASE NUMBER | I-200-23202-207074 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-07-21 |
| DECISION DATE | 2023-07-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Internal Medicine) |
| SOC CODE | 29-1216 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2023-08-24 |
| END DATE | 2026-08-23 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | TidalHealth Physician Network, Inc. |
| EMPLOYER ADDRESS1 | 100 East Carroll Street |
| EMPLOYER CITY | Salisbury |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21801 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14105437092 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Hoster |
| EMPLOYER POC FIRST NAME | Maryanne |
| EMPLOYER POC JOB TITLE | M.A., M.Jur., Director, Legal Services, TidalHealth, Inc. |
| EMPLOYER POC ADDRESS1 | 100 East Carroll Street |
| EMPLOYER POC CITY | Salisbury |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 21801 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14105437092 |
| EMPLOYER POC EMAIL | Maryanne.Hoster@tidalhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Salvetti |
| AGENT ATTORNEY FIRST NAME | Jamie |
| AGENT ATTORNEY MIDDLE NAME | Lucinda |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 5279 |
| AGENT ATTORNEY CITY | Herndon |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20172 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17038850634 |
| AGENT ATTORNEY EMAIL ADDRESS | jsalvetti@salvettilaw.com |
| LAWFIRM NAME BUSINESS NAME | The Salvetti Law Group, PLLC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Pennsylvania |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 9111 Antique Aly, Unit 1 |
| LCA CASE WORKLOC1 CITY | Bridgeville |
| WORKSITE COUNTY | SUSSEX |
| LCA CASE WORKLOC1 STATE | DE |
| WORKSITE POSTAL CODE | 19933 |
| LCA CASE WAGE RATE FROM | 120.19 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 115 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
