| LCA CASE NUMBER | I-200-23095-908252 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-05 |
| DECISION DATE | 2023-04-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1229.02 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-01 |
| END DATE | 2026-06-30 |
| 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 | Mountain States Physician Group, Inc. |
| TRADE NAME DBA | Ballad Health Medical Associates |
| EMPLOYER ADDRESS1 | 1905 American Way |
| EMPLOYER CITY | Kingsport |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37660 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14232308295 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Blevins |
| EMPLOYER POC FIRST NAME | Kellee |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 1905 American Way |
| EMPLOYER POC CITY | Kingsport |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37660 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14232308295 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Eastridge |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | Andrew |
| AGENT ATTORNEY ADDRESS1 | 208 Sunset Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 407 |
| AGENT ATTORNEY CITY | Johnson City |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | Tennessee |
| AGENT ATTORNEY PHONE | 12125184048 |
| AGENT ATTORNEY PHONE EXT | 101 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Global Justice Advocates, PLLC |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 100 15th Street, NW |
| LCA CASE WORKLOC1 CITY | Norton |
| WORKSITE COUNTY | WISE |
| LCA CASE WORKLOC1 STATE | VA |
| WORKSITE POSTAL CODE | 24273 |
| LCA CASE WAGE RATE FROM | 50 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 45.12 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
