| LCA CASE NUMBER | I-200-20140-585297 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-19 |
| DECISION DATE | 2020-05-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pulmonary and Critical Care Physician |
| 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 | THE HEALTHCARE AUTHORITY OF THE CITY OF ANNISTON |
| TRADE NAME DBA | NORTHEAST ALABAMA REGIONAL MEDICAL CENTER |
| EMPLOYER ADDRESS1 | 400 EAST 10TH STREET |
| EMPLOYER CITY | ANNISTON |
| EMPLOYER STATE | AL |
| EMPLOYER POSTAL CODE | 36202 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12562355251 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | BASS |
| EMPLOYER POC FIRST NAME | LOUIS |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS1 | 400 EAST 10TH STREET |
| EMPLOYER POC CITY | ANNISTON |
| EMPLOYER POC STATE | AL |
| EMPLOYER POC POSTAL CODE | 36202 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12562355251 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | TEDROW |
| AGENT ATTORNEY FIRST NAME | KLARI |
| AGENT ATTORNEY MIDDLE NAME | B |
| AGENT ATTORNEY ADDRESS1 | 2907 CENTRAL AVENUE |
| AGENT ATTORNEY ADDRESS2 | SUITE 109 |
| AGENT ATTORNEY CITY | HOMEWOOD |
| AGENT ATTORNEY STATE | AL |
| AGENT ATTORNEY POSTAL CODE | 35209 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12058718089.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | KLARI B. TEDROW |
| STATE OF HIGHEST COURT | AL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF ALABAMA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | OXFORD MEDIPLEX |
| WORKSITE ADDRESS1 | 1400 HIGHWAY DRIVE |
| LCA CASE WORKLOC1 CITY | OXFORD |
| WORKSITE COUNTY | CALHOUN |
| LCA CASE WORKLOC1 STATE | AL |
| WORKSITE POSTAL CODE | 36203 |
| LCA CASE WAGE RATE FROM | 360000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 184226.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | TEDROW |
| PREPARER FIRST NAME | KLARI |
| PREPARER MIDDLE INITIAL | B |
| PREPARER BUSINESS NAME | KLARI B. TEDROW, LLC |
| PREPARER EMAIL | [email protected] |
