| LCA CASE NUMBER | I-200-20156-628546 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-04 |
| DECISION DATE | 2020-06-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Internal Medicine) |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-01 |
| END DATE | 2023-08-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND, LLC |
| TRADE NAME DBA | MEDSTAR SHAH MEDICAL GROUP |
| EMPLOYER ADDRESS1 | 10980 GRANTCHESTER WAY |
| EMPLOYER CITY | COLUMBIA |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 21044 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13013737905 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Buster, Jr. |
| EMPLOYER POC FIRST NAME | Alan |
| EMPLOYER POC MIDDLE NAME | A. |
| EMPLOYER POC JOB TITLE | FACHE, CMPE, COO |
| EMPLOYER POC ADDRESS1 | 24035 Three Notch Road |
| EMPLOYER POC CITY | Hollywood |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 20636 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13013737905 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Salvetti |
| AGENT ATTORNEY FIRST NAME | Jamie |
| AGENT ATTORNEY MIDDLE NAME | Lucinda |
| 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 | 17038850634.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | The Salvetti Law Group, PLLC |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Pennsylvania |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 950 East Swan Creek Road |
| LCA CASE WORKLOC1 CITY | Fort Washington |
| WORKSITE COUNTY | PRINCE GEORGE'S |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 20744 |
| LCA CASE WAGE RATE FROM | 180000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 101712.0 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | P-100-19277-071792 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
