| LCA CASE NUMBER | I-200-20101-478993 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-10 |
| DECISION DATE | 2020-04-17 |
| 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 | 2020-08-14 |
| END DATE | 2023-08-13 |
| 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 | Mid-State Physicians, LLP |
| EMPLOYER ADDRESS1 | 200 Corporate Boulevard |
| EMPLOYER CITY | Lafayette |
| EMPLOYER STATE | LA |
| EMPLOYER POSTAL CODE | 70508 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13376091221 |
| NAICS CODE | 541611 |
| EMPLOYER POC LAST NAME | Falk |
| EMPLOYER POC FIRST NAME | Lisha |
| EMPLOYER POC MIDDLE NAME | C. |
| EMPLOYER POC JOB TITLE | Authorized Signatory |
| EMPLOYER POC ADDRESS1 | 200 Corporate Boulevard |
| EMPLOYER POC CITY | Lafayette |
| EMPLOYER POC STATE | LA |
| EMPLOYER POC POSTAL CODE | 70508 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13376091221 |
| 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 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | OhioHealth - Mansfield Hospital |
| WORKSITE ADDRESS1 | 334 Glessner Avenue |
| LCA CASE WORKLOC1 CITY | Mansfield |
| WORKSITE COUNTY | RICHLAND |
| LCA CASE WORKLOC1 STATE | OH |
| WORKSITE POSTAL CODE | 44903 |
| LCA CASE WAGE RATE FROM | 100.0 |
| LCA CASE WAGE RATE TO | 111.92 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100.0 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Burk (75784) |
| PREPARER FIRST NAME | Kelsey |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Waller Lansden Dortch & Davis, LLP |
| PREPARER EMAIL | [email protected] |
