\ H1B CASE NUMBER I-200-25078-787204



CASE NUNBER: I-200-25078-787204

LCA CASE NUMBERI-200-25078-787204
STATUSCertified
LCA CASE SUBMIT2025-03-19
DECISION DATE2025-03-26
VISA CLASSH-1B
LCA CASE JOB TITLEInternal Medicine Physician
SOC CODE29-1216.00
SOC TITLEGeneral Internal Medicine Physicians
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2025-07-01
END DATE2028-06-30
TOTAL WORKER POSITIONS2
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER2
AMENDED PETITION0
LCA CASE EMPLOYER NAMEMedStar Medical Group II, LLC
TRADE NAME DBAMedStar Medical Group
EMPLOYER ADDRESS110980 Grantchester Way
EMPLOYER CITYColumbia
EMPLOYER STATEMD
EMPLOYER POSTAL CODE21044
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE14103004852
EMPLOYER FEIN46-1322238
NAICS CODE621111
EMPLOYER POC LAST NAMEDavidson
EMPLOYER POC FIRST NAMEElissa
EMPLOYER POC JOB TITLESr. Director, Physician Recruitment & Onboarding, MMG
EMPLOYER POC ADDRESS110980 Grantchester Way
EMPLOYER POC ADDRESS2Fl. 5
EMPLOYER POC CITYColumbia
EMPLOYER POC STATEMD
EMPLOYER POC POSTAL CODE21044
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE14103004852
EMPLOYER POC EMAILElissa.D.Davidson@medstar.net
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMERead
AGENT ATTORNEY FIRST NAMEForrest
AGENT ATTORNEY ADDRESS13737 Glenwood Ave.
AGENT ATTORNEY ADDRESS2Suite 450
AGENT ATTORNEY CITYRaleigh
AGENT ATTORNEY STATENC
AGENT ATTORNEY POSTAL CODE27612
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE19197606460
AGENT ATTORNEY EMAIL ADDRESSforrest.read@jacksonlewis.com
LAWFIRM NAME BUSINESS NAMEJackson Lewis P.C.
STATE OF HIGHEST COURTNC
NAME OF HIGHEST STATE COURTSupreme Court of North Carolina
WORKSITE WORKERS2
SECONDARY ENTITYFalse
WORKSITE ADDRESS13001 S Hanover St.
LCA CASE WORKLOC1 CITYBaltimore
WORKSITE COUNTYBALTIMORE
LCA CASE WORKLOC1 STATEMD
WORKSITE POSTAL CODE21225
LCA CASE WAGE RATE FROM245000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE197870
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2024 - 6/30/2025
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Employment
PREPARER LAST NAMEBennett
PREPARER FIRST NAMEKimberly
PREPARER BUSINESS NAMEJackson Lewis P.C.
PREPARER EMAILKimberly.Bennett@jacksonlewis.com