| LCA CASE NUMBER | I-200-19296-105119 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-23 |
| DECISION DATE | 2019-10-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Director - Hospitalist |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-12-01 |
| END DATE | 2022-11-30 |
| 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 | Inpatient Services of Georgia, PC |
| TRADE NAME DBA | Envision Physician Services |
| EMPLOYER ADDRESS1 | 1000 River Road |
| EMPLOYER ADDRESS2 | Ste. 100 |
| EMPLOYER CITY | Conshohocken |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19428 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +16108342828 |
| EMPLOYER PHONE EXT | 5559.0 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Chowning |
| EMPLOYER POC FIRST NAME | Lisa |
| EMPLOYER POC JOB TITLE | Sr. Human Resources Administrative Assistant |
| EMPLOYER POC ADDRESS1 | 1000 River Road |
| EMPLOYER POC ADDRESS2 | Ste 100 |
| EMPLOYER POC CITY | Conshohocken |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19428 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +16108342828 |
| EMPLOYER POC PHONE EXT | 5559.0 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Baldwin |
| AGENT ATTORNEY FIRST NAME | Tiffany |
| AGENT ATTORNEY MIDDLE NAME | Lynn |
| AGENT ATTORNEY ADDRESS1 | 10314 LINCOLN TRAIL STE 102 |
| AGENT ATTORNEY CITY | FAIRVIEW HEIGHTS |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 62208 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16186880590.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Compass Immigration Law |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 5126 Hospital Drive NE |
| LCA CASE WORKLOC1 CITY | Covington |
| WORKSITE COUNTY | NEWTON |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30014 |
| LCA CASE WAGE RATE FROM | 290000.0 |
| LCA CASE WAGE RATE TO | 315000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 288267.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 and Employment |
