| LCA CASE NUMBER | I-200-19277-071598 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-04 |
| DECISION DATE | 2019-10-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN (FAMILY MEDICINE) |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-10-14 |
| END DATE | 2022-10-13 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | ASCENSION MEDICAL GROUP PROMED |
| TRADE NAME DBA | BORGESS MEDICAL GROUP |
| EMPLOYER ADDRESS1 | 1521 GULL ROAD |
| EMPLOYER CITY | KALAMAZOO |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49048 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +12692266783 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | COLE |
| EMPLOYER POC FIRST NAME | MARIA |
| EMPLOYER POC JOB TITLE | SENIOR PHYSICIAN RECRUITER, PHYSICIAN SUPPORT SERVICES |
| EMPLOYER POC ADDRESS1 | 1535 GULL ROAD |
| EMPLOYER POC CITY | KALAMAZOO |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49048 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +12692267420 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | KIM |
| AGENT ATTORNEY FIRST NAME | MICHAEL |
| AGENT ATTORNEY MIDDLE NAME | LEE |
| AGENT ATTORNEY ADDRESS1 | 500 NORTH MERIDIAN STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 400 |
| AGENT ATTORNEY CITY | INDIANAPOLIS |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46204 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13179771418.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | HALL, RENDER, KILLIAN, HEATH & LYMAN, P.C. |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Sturgis Hospital Medical Commons II |
| WORKSITE ADDRESS1 | 1555 E. Chicago Road |
| LCA CASE WORKLOC1 CITY | Sturgis |
| WORKSITE COUNTY | ST JOSEPH |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49091 |
| LCA CASE WAGE RATE FROM | 230000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 163238.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
