| LCA CASE NUMBER | I-200-18095-842515 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/5/18 |
| DECISION DATE | 4/11/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 4/5/18 |
| EMPLOYMENT END DATE | 10/17/18 |
| LCA CASE EMPLOYER NAME | PROVIDENCE - PROVIDENCE PARK HOSPITAL |
| EMPLOYER ADDRESS | 47601 GRAND RIVER AVENUE |
| EMPLOYER CITY | NOVI |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48374 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2484654151 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | KIM, MICHAEL |
| AGENT ATTORNEY CITY | INDIANAPOLIS |
| AGENT ATTORNEY STATE | IN |
| LCA CASE JOB TITLE | OPERATIONS COORDINATOR |
| SOC CODE | 29-2011 |
| SOC NAME | MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 25.72 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 27.09 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | NOVI |
| WORKSITE COUNTY | OAKLAND |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48374 |
