| LCA CASE NUMBER | I-200-20268-842812 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-09-23 |
| DECISION DATE | 2020-09-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff Physician / Hospitalist |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-11-01 |
| END DATE | 2023-06-12 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Moses Cone Physician Services, Inc. |
| TRADE NAME DBA | Triad Hospitalists |
| EMPLOYER ADDRESS1 | 1200 N. Elm Street |
| EMPLOYER CITY | Greensboro |
| EMPLOYER STATE | NC |
| EMPLOYER POSTAL CODE | 27401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13368328593 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | ANDERSON |
| EMPLOYER POC FIRST NAME | Steven |
| EMPLOYER POC JOB TITLE | Secretary |
| EMPLOYER POC ADDRESS1 | 300 E. Wendover Avenue |
| EMPLOYER POC ADDRESS2 | 4th Floor |
| EMPLOYER POC CITY | Greensboro |
| EMPLOYER POC STATE | NC |
| EMPLOYER POC POSTAL CODE | 27401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13366635010 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | BURTON |
| AGENT ATTORNEY FIRST NAME | Laura |
| AGENT ATTORNEY MIDDLE NAME | Deddish |
| AGENT ATTORNEY ADDRESS1 | 230 N. Elm Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1200 |
| AGENT ATTORNEY CITY | Greensboro |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13363785566.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fox Rothschild LLP |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | 4th Circuit Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1240 Huffman Mill Road |
| LCA CASE WORKLOC1 CITY | Burlington |
| WORKSITE COUNTY | ALAMANCE |
| LCA CASE WORKLOC1 STATE | NC |
| WORKSITE POSTAL CODE | 27215 |
| LCA CASE WAGE RATE FROM | 294238.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 283307.0 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020.0 |
| PW SURVEY PUBLISHER | Medical Group Management Association (MGMA) |
| PW SURVEY NAME | MGMA 2020 Provider Compensation Report |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | BURTON |
| PREPARER FIRST NAME | Laura |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | FOX ROTHSCHILD LLP |
| PREPARER EMAIL | [email protected] |
