| LCA CASE NUMBER | I-200-20357-975822 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-22 |
| DECISION DATE | 2020-12-31 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-01-04 |
| END DATE | 2024-01-03 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Memorial Hospital at Gulfport |
| EMPLOYER ADDRESS1 | 4500 Thirteenth Street |
| EMPLOYER CITY | Gulfport |
| EMPLOYER STATE | MS |
| EMPLOYER POSTAL CODE | 39501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12288674000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Miller |
| EMPLOYER POC FIRST NAME | Missy |
| EMPLOYER POC MIDDLE NAME | C. |
| EMPLOYER POC JOB TITLE | Executive Assistant |
| EMPLOYER POC ADDRESS 1 | 4500 Thirteenth Street |
| EMPLOYER POC CITY | Gulfport |
| EMPLOYER POC STATE | MS |
| EMPLOYER POC POSTAL CODE | 39501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12288674000 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | MALDONADO |
| AGENT ATTORNEY FIRST NAME | AMY |
| AGENT ATTORNEY MIDDLE NAME | - |
| AGENT ATTORNEY ADDRESS1 | 333 Albert Avenue |
| AGENT ATTORNEY ADDRESS2 | Ste. 610 |
| AGENT ATTORNEY CITY | East Lansing |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48823 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15178032870 |
| AGENT ATTORNEY PHONE EXT | 115 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Office of Amy Maldonado |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4500 Thirteenth Street |
| LCA CASE WORKLOC1 CITY | Gulfport |
| WORKSITE COUNTY | HARRISON |
| LCA CASE WORKLOC1 STATE | MS |
| WORKSITE POSTAL CODE | 39501 |
| LCA CASE WAGE RATE FROM | 283670 |
| LCA CASE WAGE RATE TO | 500000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
