| LCA CASE NUMBER | I-200-20038-307117 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-07 |
| DECISION DATE | 2020-02-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-03-11 |
| END DATE | 2023-03-10 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Mountain States Physician Group, Inc. |
| EMPLOYER ADDRESS1 | 1905 American Way |
| EMPLOYER CITY | Kingsport |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37660 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14232308295 |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Lark |
| EMPLOYER POC FIRST NAME | Sherry |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 1905 American Way |
| EMPLOYER POC CITY | Kingsport |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37660 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14232308295 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Eastridge |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | Andrew |
| AGENT ATTORNEY ADDRESS1 | 100 Med Tech Parkway |
| AGENT ATTORNEY ADDRESS2 | Suite 110 |
| AGENT ATTORNEY CITY | Johnson City |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14232836300.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Hunter Smith & Davis, LLP |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 400 N. State of Franklin Road |
| LCA CASE WORKLOC1 CITY | Johnson City |
| WORKSITE COUNTY | WASHINGTON |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 37604 |
| LCA CASE WAGE RATE FROM | 100.0 |
| LCA CASE WAGE RATE TO | 125.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 90.96 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| 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 |
