| LCA CASE NUMBER | I-200-20246-802448 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-02 |
| DECISION DATE | 2020-09-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2021-02-01 |
| END DATE | 2024-01-31 |
| 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 | Santibanez Holtzclaw, PC |
| EMPLOYER ADDRESS1 | 12420 Milestone Center Drive |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Germantown |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 20876 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12406862300 |
| EMPLOYER PHONE EXT | 2132.0 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Tait |
| EMPLOYER POC FIRST NAME | James |
| EMPLOYER POC JOB TITLE | Chief Human Resources Officer |
| EMPLOYER POC ADDRESS1 | 12420 Milestone Center Drive |
| EMPLOYER POC ADDRESS2 | Suite 200 |
| EMPLOYER POC CITY | Germantown |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 20876 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12406862300 |
| EMPLOYER POC PHONE EXT | 2132.0 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Taub |
| AGENT ATTORNEY FIRST NAME | Elissa |
| AGENT ATTORNEY ADDRESS1 | 1028 Oakhaven Rd |
| AGENT ATTORNEY CITY | Memphis |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 38119 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19016826455.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Siskind Susser PC |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | St. Mark's Hospital |
| WORKSITE ADDRESS1 | 1200 E 3900 S |
| LCA CASE WORKLOC1 CITY | Salt Lake City |
| WORKSITE COUNTY | SALT LAKE |
| LCA CASE WORKLOC1 STATE | UT |
| WORKSITE POSTAL CODE | 84124 |
| LCA CASE WAGE RATE FROM | 125.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 75.61 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Schaffler |
| PREPARER FIRST NAME | Macrae |
| PREPARER BUSINESS NAME | Siskind Susser PC |
| PREPARER EMAIL | [email protected] |
