| CASE NUMBER | I-200-24341-523504 |
| CASE STATUS | Certified |
| RECEIVED DATE | 12/6/2024 |
| DECISION DATE | 12/13/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Hospitalist Physician |
| SOC CODE | 29-1229.02 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| BEGIN DATE | 1/1/2025 |
| END DATE | 12/31/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Hospitalist Services of Georgia, PC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 200 Corporate Boulevard |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Lafayette |
| EMPLOYER STATE | LA |
| EMPLOYER POSTAL CODE | 70508 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 13376091221 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 561330 |
| EMPLOYER POC LAST NAME | Falk |
| EMPLOYER POC FIRST NAME | Lisha |
| EMPLOYER POC MIDDLE NAME | C. |
| EMPLOYER POC JOB TITLE | Authorized Representative |
| EMPLOYER POC ADDRESS1 | 200 Corporate Boulevard |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Lafayette |
| EMPLOYER POC STATE | LA |
| EMPLOYER POC POSTAL CODE | 70508 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 13376091221 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Lisha_Falk@scphealth.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Duong |
| AGENT ATTORNEY FIRST NAME | Hon-Vinh |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 511 Union Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2700 |
| AGENT ATTORNEY CITY | Nashville |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37219 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 16158508936 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | flag@hklaw.com |
| LAWFIRM NAME BUSINESS NAME | Holland & Knight LLP |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Tennessee Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Yes |
| SECONDARY ENTITY BUSINESS NAME | Research Medical Center |
| WORKSITE ADDRESS1 | 2316 East Meyer Road |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Kansas City |
| WORKSITE COUNTY | JACKSON |
| WORKSITE STATE | MO |
| WORKSITE POSTAL CODE | 64132 |
| WAGE RATE OF PAY FROM | $65.59 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $160.00 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $65.59 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| 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 | Latimer (00012) |
| PREPARER FIRST NAME | Hannah |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Holland & Knight LLP |
| PREPARER EMAIL | hannah.latimer@hklaw.com |
| BEGIN DATE CONVERTED | 2025-01-01 |
