| LCA CASE NUMBER | I-200-20132-558429 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-11 |
| DECISION DATE | 2020-05-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-20 |
| END DATE | 2023-07-19 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PROMEDICA CENTRAL CORPORATION OF MICHIGAN |
| EMPLOYER ADDRESS1 | PROMEDICA - STEAM PLANT |
| EMPLOYER ADDRESS2 | 100 MADISON AVENUE, 3RD FLOOR |
| EMPLOYER CITY | TOLEDO |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43604 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15675853642 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | BRANDT |
| EMPLOYER POC FIRST NAME | ANGELA |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | PROMEDICA STEAM PLANT |
| EMPLOYER POC ADDRESS2 | 100 MADISON AVENUE, 3RD FLOOR |
| EMPLOYER POC CITY | TOLEDO |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43604 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15675850978 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | ZAROU |
| AGENT ATTORNEY FIRST NAME | MECHELLE |
| AGENT ATTORNEY ADDRESS1 | 1000 JACKSON STREET |
| AGENT ATTORNEY ADDRESS2 | NORTH COURTHOUSE SQUARE |
| AGENT ATTORNEY CITY | TOLEDO |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 43604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14193211460.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Shumaker, Loop & Kendrick, LLP |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | OHIO SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 781 Lakeshire Trail |
| WORKSITE ADDRESS2 | Suite 207 |
| LCA CASE WORKLOC1 CITY | Adrian |
| WORKSITE COUNTY | LENAWEE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49221 |
| LCA CASE WAGE RATE FROM | 163238.0 |
| LCA CASE WAGE RATE TO | 215000.0 |
| 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 | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Zarou |
| PREPARER FIRST NAME | Mechelle |
| PREPARER BUSINESS NAME | Shumaker, Loop & Kendrick, LLP |
| PREPARER EMAIL | [email protected] |
