| LCA CASE NUMBER | I-200-22263-483005 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-09-20 |
| DECISION DATE | 2022-09-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | HOSPITALIST PHYSICIAN |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-11-01 |
| END DATE | 2025-10-31 |
| 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 | HOSPITAL MEDICINE SERVICES OF TENNESSEE, PC |
| EMPLOYER ADDRESS1 | 265 BROOKVIEW CENTRE WAY, SUITE 400 |
| EMPLOYER CITY | Knoxville |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37919 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19543772061 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | DABBS |
| EMPLOYER POC FIRST NAME | RANDAL |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 265 BROOKVIEW CENTRE WAY, SUITE 400 |
| EMPLOYER POC CITY | KNOXVILLE |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37919 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18656931000 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | TAUB |
| AGENT ATTORNEY FIRST NAME | ELISSA |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 1028 OAKHAVEN ROAD |
| AGENT ATTORNEY CITY | Memphis |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 38119 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19016826455 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | SISKIND SUSSER PC |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Cumberland Medical Center |
| WORKSITE ADDRESS1 | 421 South Main Street |
| LCA CASE WORKLOC1 CITY | Crossville |
| WORKSITE COUNTY | CUMBERLAND |
| LCA CASE WORKLOC1 STATE | TN |
| WORKSITE POSTAL CODE | 38555 |
| LCA CASE WAGE RATE FROM | 288288 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 108285 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Moran |
| PREPARER FIRST NAME | Jacqueline |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Siskind Susser PC |
| PREPARER EMAIL | [email protected] |
