| LCA CASE NUMBER | I-200-16163-640831 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/17/16 |
| DECISION DATE | 6/23/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/1/16 |
| EMPLOYMENT END DATE | 8/31/19 |
| 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 | 2486808048 |
| AGENT ATTORNEY NAME | KIM, MICHAEL |
| AGENT ATTORNEY CITY | INDIANAPOLIS |
| AGENT ATTORNEY STATE | IN |
| LCA CASE JOB TITLE | PHYSICIAN (OB/GYN) |
| SOC CODE | 29-1064 |
| SOC NAME | OBSTETRICIANS AND GYNECOLOGISTS |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 187,200.00 |
| 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 | 200,000.00 |
| 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 |
