| CASE NUMBER | I-200-24248-312942 |
| CASE STATUS | Certified |
| RECEIVED DATE | 9/4/2024 |
| DECISION DATE | 9/11/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Medical Director |
| SOC CODE | 29-1229.02 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/13/2024 |
| END DATE | 9/12/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | South Sound Inpatient Physicians, PLLC |
| TRADE NAME DBA | Sound Physicians of Washington |
| EMPLOYER ADDRESS1 | 1498 Pacific Ave. |
| EMPLOYER ADDRESS2 | Ste. 500 |
| EMPLOYER CITY | Tacoma |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98402 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +18557686363 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Faulkner |
| EMPLOYER POC FIRST NAME | Debbie |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | VP, People Support |
| EMPLOYER POC ADDRESS1 | 1498 Pacific Ave. |
| EMPLOYER POC ADDRESS2 | Ste. 500 |
| EMPLOYER POC CITY | Tacoma |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98402 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +18557686363 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | dfaulkner@soundphysicians.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Solarski |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | Paul |
| AGENT ATTORNEY ADDRESS1 | 120 Brentwood Commons Way |
| AGENT ATTORNEY ADDRESS2 | Ste. 510 |
| AGENT ATTORNEY CITY | Brentwood |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37027 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +16153775639 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | asolarski@soundphysicians.com |
| LAWFIRM NAME BUSINESS NAME | Sound Inpatient Physicians, Inc. |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | St. Michael Medical Center |
| WORKSITE ADDRESS1 | 1800 NW Myhre Rd. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Silverdale |
| WORKSITE COUNTY | KITSAP |
| WORKSITE STATE | WA |
| WORKSITE POSTAL CODE | 98383 |
| WAGE RATE OF PAY FROM | 137.50 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $175.65 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $115.00 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | N/A |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2025-01-09 |
