| LCA CASE NUMBER | I-200-20254-815773 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-10 |
| DECISION DATE | 2020-09-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Obstetrics and Gynecology Physician |
| SOC CODE | 29-1064.00 |
| SOC TITLE | Obstetricians and Gynecologists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-09-28 |
| END DATE | 2023-09-27 |
| 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 | Maryland Physicians Edge LLC |
| EMPLOYER ADDRESS1 | 10750 Columbia Pike |
| EMPLOYER ADDRESS2 | Suite 700 |
| EMPLOYER CITY | Silver Spring |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 20901 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13016816772 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Moran |
| EMPLOYER POC FIRST NAME | Tracey |
| EMPLOYER POC JOB TITLE | Practice Administrator |
| EMPLOYER POC ADDRESS1 | 10750 Columbia Pike |
| EMPLOYER POC ADDRESS2 | Suite 700 |
| EMPLOYER POC CITY | Silver Spring |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 20901 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13016816772 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Cao |
| AGENT ATTORNEY FIRST NAME | Ying |
| AGENT ATTORNEY ADDRESS1 | 51 JFK Pkwy, First Floor West,Room 140 |
| AGENT ATTORNEY CITY | Short Hills |
| AGENT ATTORNEY STATE | NJ |
| AGENT ATTORNEY POSTAL CODE | 07078 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19733101688.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Ying Cao Law LLC |
| STATE OF HIGHEST COURT | NJ |
| NAME OF HIGHEST STATE COURT | New Jersey Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Holy Cross Health DBA Holy Cross Hospital |
| WORKSITE ADDRESS1 | 1500 Forest Glen Road |
| LCA CASE WORKLOC1 CITY | Silver Spring |
| WORKSITE COUNTY | MONTGOMERY |
| LCA CASE WORKLOC1 STATE | MD |
| WORKSITE POSTAL CODE | 20910 |
| LCA CASE WAGE RATE FROM | 208874.0 |
| LCA CASE WAGE RATE TO | 261000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208874.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Cao |
| PREPARER FIRST NAME | Ying |
| PREPARER BUSINESS NAME | Ying Cao Law LLC |
| PREPARER EMAIL | [email protected] |
