| LCA CASE NUMBER | I-200-20204-729082 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-22 |
| DECISION DATE | 2020-07-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PULMONOLOGY AND CRITICAL CARE PHYSICIAN |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-10 |
| END DATE | 2023-08-10 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | CANTON POTSDAM HOSPITAL |
| EMPLOYER ADDRESS1 | 50 LEROY STREET |
| EMPLOYER CITY | POTSDAM |
| EMPLOYER STATE | NY |
| EMPLOYER POSTAL CODE | 13676 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13152616006 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | BURCH |
| EMPLOYER POC FIRST NAME | ERIC |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS1 | 50 LEROY STREET |
| EMPLOYER POC CITY | POTSDAM |
| EMPLOYER POC STATE | NY |
| EMPLOYER POC POSTAL CODE | 13676 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13152616006 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Wilk |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | Thomas |
| AGENT ATTORNEY ADDRESS1 | 1 Hemphill Place |
| AGENT ATTORNEY ADDRESS2 | Suite 202 |
| AGENT ATTORNEY CITY | Malta |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 12020 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15188861354.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | TMG Visa LLC |
| STATE OF HIGHEST COURT | DC |
| NAME OF HIGHEST STATE COURT | COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 50 LEROY STREET |
| LCA CASE WORKLOC1 CITY | POTSDAM |
| WORKSITE COUNTY | ST LAWRENCE |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 13676 |
| LCA CASE WAGE RATE FROM | 213120.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 213120.0 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2018.0 |
| PW SURVEY PUBLISHER | Hospital & Healthcare Compensation Service & J.R. Zabka Asso |
| PW SURVEY NAME | Hospital & Healthcare Comp Svc: Hospital/Physician Salary & |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | WILK |
| PREPARER FIRST NAME | MICHAEL |
| PREPARER MIDDLE INITIAL | T |
| PREPARER BUSINESS NAME | TMG VISA LLC |
| PREPARER EMAIL | [email protected] |
