| LCA CASE NUMBER | I-200-25059-733857 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-02-28 |
| DECISION DATE | 2025-03-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist Physician |
| SOC CODE | 29-1229 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-07-08 |
| END DATE | 2028-07-07 |
| 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 | Southeastern Physician Services, P.C. |
| EMPLOYER ADDRESS1 | 265 Brookview Centre Way |
| EMPLOYER ADDRESS2 | Ste. 203 |
| EMPLOYER CITY | Knoxville |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37919 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18882032264 |
| EMPLOYER FEIN | 20-3279920 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Dabbs |
| EMPLOYER POC FIRST NAME | Randal |
| EMPLOYER POC JOB TITLE | Authorized Signatory |
| EMPLOYER POC ADDRESS1 | 265 Brookview Centre Way |
| EMPLOYER POC ADDRESS2 | Ste. 203 |
| EMPLOYER POC CITY | Knoxville |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37919 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18882032264 |
| EMPLOYER POC EMAIL | tiffany_goins@teamhealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Frost |
| AGENT ATTORNEY FIRST NAME | Amanda |
| AGENT ATTORNEY ADDRESS1 | 3080 N. Litchfield Road |
| AGENT ATTORNEY CITY | Goodyear |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85395 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16235365750 |
| AGENT ATTORNEY EMAIL ADDRESS | afrost@breljelaw.com |
| LAWFIRM NAME BUSINESS NAME | Brelje & Bus Immigration Law P.C. |
| STATE OF HIGHEST COURT | AZ |
| NAME OF HIGHEST STATE COURT | Arizona Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Tennova Healthcare - Cleveland |
| WORKSITE ADDRESS1 | 2305 Chambliss Avenue NW |
| LCA CASE WORKLOC1 CITY | Cleveland |
| WORKSITE COUNTY | BRADLEY |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 37311 |
| LCA CASE WAGE RATE FROM | 150 |
| LCA CASE WAGE RATE TO | 180 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 115 |
| PW UNIT OF PAY | Hour |
| 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 |
| PREPARER LAST NAME | Ung |
| PREPARER FIRST NAME | Jenny |
| PREPARER BUSINESS NAME | Brelje & Bus Immigration Law P.C. |
| PREPARER EMAIL | jung@breljelaw.com |