| LCA CASE NUMBER | I-200-19283-081535 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-10 |
| DECISION DATE | 2019-10-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-11-11 |
| END DATE | 2022-11-10 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | APP of Tennessee HM, PLLC |
| EMPLOYER ADDRESS1 | 5121 Maryland Way |
| EMPLOYER ADDRESS2 | Suite 300 |
| EMPLOYER CITY | Brentwood |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37027 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +16159286275 |
| NAICS CODE | 561330 |
| EMPLOYER POC LAST NAME | Roberts |
| EMPLOYER POC FIRST NAME | Brittany |
| EMPLOYER POC JOB TITLE | Corporate Counsel |
| EMPLOYER POC ADDRESS1 | 5121 Maryland Way |
| EMPLOYER POC ADDRESS2 | Suite 300 |
| EMPLOYER POC CITY | Brentwood |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37027 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +16298884875 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Duong |
| AGENT ATTORNEY FIRST NAME | Hon-Vinh |
| AGENT ATTORNEY MIDDLE NAME | Quang |
| AGENT ATTORNEY ADDRESS1 | 511 Union Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2700 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16158508936.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Waller Lansden Dortch & Davis, LLP |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| 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 | 100.0 |
| LCA CASE WAGE RATE TO | 150.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 71.66 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Bujdos [92153] |
| PREPARER FIRST NAME | David |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Waller |
| PREPARER EMAIL | [email protected] |
