| LCA CASE NUMBER | I-200-24115-920074 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-04-24 |
| DECISION DATE | 2024-05-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Anesthesiologist |
| SOC CODE | 29-1211.00 |
| SOC TITLE | Anesthesiologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-09-15 |
| END DATE | 2027-09-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Palmetto Anesthesia Specialists, LLC |
| EMPLOYER ADDRESS1 | 265 Brookview Centre Way |
| EMPLOYER ADDRESS2 | Suite 203 |
| EMPLOYER CITY | Knoxville |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37919 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18656931000 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Weiss |
| EMPLOYER POC FIRST NAME | Jeffrey |
| EMPLOYER POC JOB TITLE | Authorized Signatory |
| EMPLOYER POC ADDRESS1 | 265 Brookview Centre Way |
| EMPLOYER POC ADDRESS2 | Suite 203 |
| EMPLOYER POC CITY | Knoxville |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37919 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18656931000 |
| EMPLOYER POC EMAIL | Jeffrey_Weiss@teamhealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Taub |
| AGENT ATTORNEY FIRST NAME | Elissa |
| AGENT ATTORNEY ADDRESS1 | 1028 Oakhaven Rd. |
| AGENT ATTORNEY CITY | Memphis |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 38119 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19016826455 |
| AGENT ATTORNEY EMAIL ADDRESS | etaub@visalaw.com |
| LAWFIRM NAME BUSINESS NAME | Siskind Susser PC |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Palmetto General Hospital |
| WORKSITE ADDRESS1 | 2001 West 68th Street |
| LCA CASE WORKLOC1 CITY | Hialeah |
| WORKSITE COUNTY | MIAMI-DADE |
| LCA CASE WORKLOC1 STATE | FL |
| WORKSITE POSTAL CODE | 33016 |
| LCA CASE WAGE RATE FROM | 400000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 234187 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Moran |
| PREPARER FIRST NAME | Jacqueline |
| PREPARER BUSINESS NAME | Siskind Susser PC |
| PREPARER EMAIL | jmoran@visalaw.com |