| LCA CASE NUMBER | I-200-19247-320244 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-09-25 |
| DECISION DATE | 2019-10-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | HOSPITALIST |
| SOC CODE | 29-1069 |
| SOC TITLE | PHYSICIANS AND SURGEONS, ALL OTHER |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2019-11-01 |
| END DATE | 2022-10-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | HOSPITAL MEDICINE SERVICES OF TENNESSEE, PC |
| TRADE NAME DBA | LONESTAR HOSPITAL MEDICINE ASSOCIATES, PA |
| EMPLOYER ADDRESS1 | 265 BROOKVIEW CENTRE WAY, SUITE 400 |
| EMPLOYER ADDRESS2 | SUITE 400 |
| EMPLOYER CITY | KNOXVILLE |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37919 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8656931000 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | DABBS |
| EMPLOYER POC FIRST NAME | RANDAL |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 265 BROOKVIEW CENTRE WAY, SUITE 400 |
| EMPLOYER POC CITY | KNOXVILLE |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37919 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 8656931000 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | ELISSA |
| AGENT ATTORNEY FIRST NAME | ELISSA |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 1028 OAKHAVEN ROAD |
| AGENT ATTORNEY CITY | MEMPHIS |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 38119 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 9016826455.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | SISKIND SUSSER PC |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Methodist Medical Center of Oak Ridge |
| WORKSITE ADDRESS1 | 990 Oak Ridge Turnpike |
| LCA CASE WORKLOC1 CITY | Oak Ridge |
| WORKSITE COUNTY | Anderson |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 37830 |
| LCA CASE WAGE RATE FROM | 140.0 |
| LCA CASE WAGE RATE TO | 140.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100.0 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | V |
| PW OES YEAR | 2019 |
| PW OTHER SOURCE | OES |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | SCHAFFLER |
| PREPARER FIRST NAME | MACRAE |
| PREPARER BUSINESS NAME | SISKIND SUSSER PC |
| PREPARER EMAIL | [email protected] |
