| LCA CASE NUMBER | I-200-23034-748716 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-02-03 |
| DECISION DATE | 2023-02-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pulmonary and Critical Care Physician |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-01 |
| END DATE | 2026-06-30 |
| 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 | THE HEALTHCARE AUTHORITY OF THE CITY OF ANNISTON |
| TRADE NAME DBA | NORTHEAST ALABAMA REGIONAL MEDICAL CENTER |
| EMPLOYER ADDRESS1 | 400 EAST 10TH STREET |
| EMPLOYER CITY | ANNISTON |
| EMPLOYER STATE | AL |
| EMPLOYER POSTAL CODE | 36202 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12562355251 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | BASS |
| EMPLOYER POC FIRST NAME | LOUIS |
| EMPLOYER POC JOB TITLE | CHIEF EXECUTIVE OFFICER |
| EMPLOYER POC ADDRESS1 | 400 EAST 10TH STREET |
| EMPLOYER POC CITY | ANNISTON |
| EMPLOYER POC STATE | AL |
| EMPLOYER POC POSTAL CODE | 36202 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12562355251 |
| 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 | 1976 Gadsden Hwy |
| AGENT ATTORNEY ADDRESS2 | Suite 200 |
| AGENT ATTORNEY CITY | Birmingham |
| AGENT ATTORNEY STATE | AL |
| AGENT ATTORNEY POSTAL CODE | 35235 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12058718084 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Klari B. Tedrow, LLC |
| STATE OF HIGHEST COURT | AL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF ALABAMA |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | OXFORD MEDIPLEX |
| WORKSITE ADDRESS1 | 1400 HIGHWAY DRIVE |
| LCA CASE WORKLOC1 CITY | OXFORD |
| WORKSITE COUNTY | CALHOUN |
| LCA CASE WORKLOC1 STATE | AL |
| WORKSITE POSTAL CODE | 36203 |
| LCA CASE WAGE RATE FROM | 360000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 221312 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H 1B 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, LLC |
| PREPARER EMAIL | [email protected] |
