| LCA CASE NUMBER | I-200-24228-270500 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-08-15 |
| DECISION DATE | 2024-08-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Emergency Department Physician |
| SOC CODE | 29-1214.00 |
| SOC TITLE | Emergency Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-09-09 |
| END DATE | 2027-09-08 |
| 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 | CLARK EMERGENCY PHYSICIANS, PLLC |
| EMPLOYER ADDRESS1 | 25 E. HICKMAN STREET |
| EMPLOYER CITY | WINCHESTER |
| EMPLOYER STATE | KY |
| EMPLOYER POSTAL CODE | 40391 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18597448324 |
| EMPLOYER FEIN | 81-4712442 |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | KOSTELINK |
| EMPLOYER POC FIRST NAME | BRUCE |
| EMPLOYER POC JOB TITLE | OWNER |
| EMPLOYER POC ADDRESS1 | 25 E. HICKMAN STREET |
| EMPLOYER POC CITY | WINCHESTER |
| EMPLOYER POC STATE | KY |
| EMPLOYER POC POSTAL CODE | 40391 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18597448324 |
| EMPLOYER POC EMAIL | pat@mdbillingky.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 PROVINCE | MD |
| AGENT ATTORNEY PHONE | 12405830003 |
| AGENT ATTORNEY EMAIL ADDRESS | jan@wcslaw.com |
| LAWFIRM NAME BUSINESS NAME | WRIGHT, CONSTABLE & SKEEN, L.L.P. |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF THE UNITED STATES |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Clark Reginal Medical Center |
| WORKSITE ADDRESS1 | 175 Hospital Drive |
| LCA CASE WORKLOC1 CITY | Winchester |
| WORKSITE COUNTY | CLARK |
| LCA CASE WORKLOC1 STATE | KY |
| WORKSITE POSTAL CODE | 40391 |
| LCA CASE WAGE RATE FROM | 441600 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 239200 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |