| LCA CASE NUMBER | I-200-20318-911971 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-11-13 |
| DECISION DATE | 2020-11-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician-Gastroenterologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-01-01 |
| END DATE | 2022-06-25 |
| 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 | The Bibb County Health Care Authority |
| TRADE NAME DBA | Bibb Medical Center |
| EMPLOYER ADDRESS1 | 208 Pierson Ave |
| EMPLOYER CITY | Centreville |
| EMPLOYER STATE | AL |
| EMPLOYER POSTAL CODE | 35042 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12059263281 |
| NAICS CODE | 6221 |
| EMPLOYER POC LAST NAME | Marchant |
| EMPLOYER POC FIRST NAME | Joseph |
| EMPLOYER POC JOB TITLE | President/CEO |
| EMPLOYER POC ADDRESS 1 | 208 Pierson Ave |
| EMPLOYER POC CITY | Centreville |
| EMPLOYER POC STATE | AL |
| EMPLOYER POC POSTAL CODE | 35042 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12059263284 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Tedrow |
| AGENT ATTORNEY FIRST NAME | Klari |
| AGENT ATTORNEY MIDDLE NAME | B |
| AGENT ATTORNEY ADDRESS1 | 2907 Central Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 109 |
| AGENT ATTORNEY CITY | Homewood |
| AGENT ATTORNEY STATE | AL |
| AGENT ATTORNEY POSTAL CODE | 35209 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12058718084 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Klari B Tedrow |
| STATE OF HIGHEST COURT | AL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Alabama |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 208 Pierson Ave |
| LCA CASE WORKLOC1 CITY | Centreville |
| WORKSITE COUNTY | BIBB |
| LCA CASE WORKLOC1 STATE | AL |
| WORKSITE POSTAL CODE | 35042 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Tedrow |
| PREPARER FIRST NAME | Klari |
| PREPARER MIDDLE INITIAL | B |
| PREPARER BUSINESS NAME | Klari B Tedrow |
| PREPARER EMAIL | [email protected] |
