| LCA CASE NUMBER | I-200-19336-174042 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-02 |
| DECISION DATE | 2019-12-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | INTERNAL MEDICINE PHYSICIAN |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-02-01 |
| END DATE | 2023-01-31 |
| 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 | JACKSON HOSPITAL & CLINIC, INC. |
| EMPLOYER ADDRESS1 | 1725 PINE STREET |
| EMPLOYER CITY | MONTGOMERY |
| EMPLOYER STATE | AL |
| EMPLOYER POSTAL CODE | 36106 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +13342402335 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | PENNEY |
| EMPLOYER POC FIRST NAME | KELIN |
| EMPLOYER POC JOB TITLE | ADMINISTRATOR |
| EMPLOYER POC ADDRESS1 | 1725 PINE STREET |
| EMPLOYER POC CITY | MONTGOMERY |
| EMPLOYER POC STATE | AL |
| EMPLOYER POC POSTAL CODE | 36106 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +13342402335 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | SUTHERLAND |
| AGENT ATTORNEY FIRST NAME | EMMA |
| AGENT ATTORNEY MIDDLE NAME | JANE |
| AGENT ATTORNEY ADDRESS1 | P.O. BOX 5279 |
| AGENT ATTORNEY CITY | HERNDON |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 20172 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17038850638.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | THE SALVETTI LAW GROUP, PLLC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF VIRGINIA |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1801 PINE STREET |
| LCA CASE WORKLOC1 CITY | MONTGOMERY |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | AL |
| WORKSITE POSTAL CODE | 36106 |
| LCA CASE WAGE RATE FROM | 210000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| 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 |
