| LCA CASE NUMBER | I-200-23186-168455 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-07-05 |
| DECISION DATE | 2023-07-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-13 |
| END DATE | 2026-07-12 |
| 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 | Gadsden Regional Physician Group Practice, LLC |
| EMPLOYER ADDRESS1 | 1007 Goodyear Ave |
| EMPLOYER CITY | Gadsden |
| EMPLOYER STATE | AL |
| EMPLOYER POSTAL CODE | 35903 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12564944198 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Park |
| EMPLOYER POC FIRST NAME | Denten |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 1007 Goodyear Ave |
| EMPLOYER POC CITY | Gadsden |
| EMPLOYER POC STATE | AL |
| EMPLOYER POC POSTAL CODE | 35903 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12564944198 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Moody |
| AGENT ATTORNEY FIRST NAME | Meghan |
| 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 | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1007 Goodyear Ave. |
| LCA CASE WORKLOC1 CITY | Gadsden |
| WORKSITE COUNTY | ETOWAH |
| LCA CASE WORKLOC1 STATE | AL |
| WORKSITE POSTAL CODE | 35903 |
| LCA CASE WAGE RATE FROM | 215000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 163800 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 BUSINESS NAME | Siskind Susser PC |
| PREPARER EMAIL | [email protected] |
