| LCA CASE NUMBER | I-200-20122-535427 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-01 |
| DECISION DATE | 2020-05-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Resident Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-06-22 |
| END DATE | 2023-06-21 |
| 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 | St. Mary Mercy Hospital |
| EMPLOYER ADDRESS1 | 36475 Five Mile Road |
| EMPLOYER CITY | Livonia |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48154 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17346652412 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | GREENWOOD-CLARK |
| EMPLOYER POC FIRST NAME | Susan |
| EMPLOYER POC JOB TITLE | Director, Medical Education |
| EMPLOYER POC ADDRESS1 | 36475 Five Mile Road |
| EMPLOYER POC CITY | Livonia |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48154 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17346654212 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Pacis |
| AGENT ATTORNEY FIRST NAME | Reginald |
| AGENT ATTORNEY MIDDLE NAME | A. |
| AGENT ATTORNEY ADDRESS1 | Butzel Long, a professional corporation |
| AGENT ATTORNEY ADDRESS2 | 150 W. Jefferson Avenue, Suite 100 |
| AGENT ATTORNEY CITY | Detroit |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48226 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13139836929.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Butzel Long, a professional corporation |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | MICHIGAN SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Primary Care Internal Medicine |
| WORKSITE ADDRESS1 | 37595 Seven Mile Rd. |
| WORKSITE ADDRESS2 | Suite 340 |
| LCA CASE WORKLOC1 CITY | Livonia |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 36475 |
| LCA CASE WAGE RATE FROM | 56357.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 49712.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
