| LCA CASE NUMBER | I-200-24109-903085 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-04-18 |
| DECISION DATE | 2024-04-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-05-01 |
| END DATE | 2026-04-30 |
| 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 | Centennial Medical Group, P.A. |
| EMPLOYER ADDRESS1 | 6230 Old Dobbin Ln. |
| EMPLOYER ADDRESS2 | Suite 230 |
| EMPLOYER CITY | Columbia |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21045 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14107303399 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Ferguson |
| EMPLOYER POC FIRST NAME | Connor |
| EMPLOYER POC MIDDLE NAME | J. |
| EMPLOYER POC JOB TITLE | Managing Partner |
| EMPLOYER POC ADDRESS1 | 6230 Old Dobbin Ln. |
| EMPLOYER POC ADDRESS2 | Suite 230 |
| EMPLOYER POC CITY | Columbia |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 21045 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14107303399 |
| EMPLOYER POC EMAIL | cferguson@centennialmedical.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Martinez |
| AGENT ATTORNEY FIRST NAME | George |
| AGENT ATTORNEY MIDDLE NAME | Humberto |
| AGENT ATTORNEY ADDRESS1 | 65 East State Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1550 |
| AGENT ATTORNEY CITY | Columbus |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43215 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16142554872 |
| AGENT ATTORNEY EMAIL ADDRESS | GMartinez@Shihab.Law |
| LAWFIRM NAME BUSINESS NAME | The Law Firm of Shihab & Associates Co LPA |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | The Supreme Court of Ohio |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Centennial Medical Group - Primary Care |
| WORKSITE ADDRESS1 | 8186 Lark Brown Road |
| WORKSITE ADDRESS2 | Suite 200 |
| LCA CASE WORKLOC1 CITY | Elkridge |
| WORKSITE COUNTY | HOWARD |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 21075 |
| LCA CASE WAGE RATE FROM | 240000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 239200 |
| PW UNIT OF PAY | Year |
| 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 |