| LCA CASE NUMBER | I-200-20056-350497 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-25 |
| DECISION DATE | 2020-03-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Intensivist) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Intensive Care Consortium, Inc. |
| EMPLOYER ADDRESS1 | 2000 Health Park Dr. |
| EMPLOYER CITY | Brentwood |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37027 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16153737600 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Henry |
| EMPLOYER POC FIRST NAME | Lana |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| EMPLOYER POC ADDRESS1 | 2000 Health Park Dr. |
| EMPLOYER POC CITY | Brentwood |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37027 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16153737600 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Neal |
| AGENT ATTORNEY FIRST NAME | Sherry |
| AGENT ATTORNEY MIDDLE NAME | L |
| AGENT ATTORNEY ADDRESS1 | 441 Vine Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3200 |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | OH |
| AGENT ATTORNEY PHONE | 15132876856.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Hammond Law Group LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | OH |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Coliseum Medical Center |
| WORKSITE ADDRESS1 | 350 Hospital Drive |
| LCA CASE WORKLOC1 CITY | Macon |
| WORKSITE COUNTY | BIBB |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 31217 |
| LCA CASE WAGE RATE FROM | 410400.0 |
| 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 |
| PREPARER LAST NAME | Neal |
| PREPARER FIRST NAME | Sherry |
| PREPARER MIDDLE INITIAL | L. |
| PREPARER BUSINESS NAME | Hammond Law Group, LLC |
| PREPARER EMAIL | [email protected] |
