| LCA CASE NUMBER | I-200-22145-211687 |
| STATUS | Withdrawn |
| LCA CASE SUBMIT | 2022-05-25 |
| DECISION DATE | 2022-05-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-02 |
| END DATE | 2025-09-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | APP of Tennessee HM, PLLC |
| EMPLOYER ADDRESS1 | 5121 Maryland Way |
| EMPLOYER ADDRESS2 | Suite 300 |
| EMPLOYER CITY | Brentwood |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37027 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16298884875 |
| NAICS CODE | 561330 |
| EMPLOYER POC LAST NAME | Smokler |
| EMPLOYER POC FIRST NAME | Mary Ann |
| EMPLOYER POC JOB TITLE | Vice President, Provider Recruitment |
| EMPLOYER POC ADDRESS1 | 5121 Maryland Way |
| EMPLOYER POC ADDRESS2 | Suite 300 |
| EMPLOYER POC CITY | Brentwood |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37027 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16154366503 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Duong |
| AGENT ATTORNEY FIRST NAME | Hon-Vinh |
| AGENT ATTORNEY MIDDLE NAME | Quang |
| AGENT ATTORNEY ADDRESS1 | 511 Union Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2700 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16158508936 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Waller Lansden Dortch & Davis, LLP |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Cookeville Regional Medical Center Authority dba Cookeville Regional Medical Center |
| WORKSITE ADDRESS1 | 1 Medical Center Boulevard |
| LCA CASE WORKLOC1 CITY | Cookeville |
| WORKSITE COUNTY | PUTNAM |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 38501 |
| LCA CASE WAGE RATE FROM | 51.23 |
| LCA CASE WAGE RATE TO | 160 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 51.23 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kang/16794 |
| PREPARER FIRST NAME | Paul |
| PREPARER BUSINESS NAME | Waller Lansden Dortch & Davis, LLP |
| PREPARER EMAIL | [email protected] |
