| LCA CASE NUMBER | I-200-15309-367443 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 11/24/15 |
| DECISION DATE | 12/1/15 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 1/18/16 |
| EMPLOYMENT END DATE | 1/17/19 |
| LCA CASE EMPLOYER NAME | ST. JOHN PROVIDENCE HEALTH SYSTEM |
| EMPLOYER ADDRESS | 28000 DEQUINDRE ROAD |
| EMPLOYER CITY | WARREN |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48092 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 5967530957 |
| AGENT ATTORNEY NAME | KIM, MICHAEL |
| AGENT ATTORNEY CITY | INDIANAPOLIS |
| AGENT ATTORNEY STATE | IN |
| LCA CASE JOB TITLE | MEDICAL TECHNOLOGIST |
| SOC CODE | 29-2011 |
| SOC NAME | MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 42,952.00 |
| 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 | 51,851.89 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | DETROIT |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48236 |
