| LCA CASE NUMBER | I-200-15303-980595 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 11/4/15 |
| DECISION DATE | 11/11/15 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 12/7/15 |
| EMPLOYMENT END DATE | 12/6/18 |
| LCA CASE EMPLOYER NAME | PROVIDENCE - PROVIDENCE PARK HOSPITAL |
| EMPLOYER ADDRESS | 16001 W. 9 MILE ROAD |
| EMPLOYER CITY | SOUTHFIELD |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48075 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2488493000 |
| AGENT ATTORNEY NAME | KIM, MICHAEL |
| AGENT ATTORNEY CITY | INDIANAPOLIS |
| AGENT ATTORNEY STATE | IN |
| LCA CASE JOB TITLE | PHYSICIAN ASSISTANT |
| SOC CODE | 29-1071 |
| SOC NAME | PHYSICIAN ASSISTANTS |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 44,554.00 |
| PW UNIT OF PAY | Year |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 104,111.57 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | SOUTHFIELD |
| WORKSITE COUNTY | OAKLAND |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48075 |
