| LCA CASE NUMBER | I-200-20325-922123 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-11-20 |
| DECISION DATE | 2020-11-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Emergency Medicine (EM) Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2020-11-27 |
| END DATE | 2022-08-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | EPMG of Michigan, P.C. |
| EMPLOYER ADDRESS1 | 2000 Green Road |
| EMPLOYER CITY | Ann Arbor |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17349953764 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Newton |
| EMPLOYER POC FIRST NAME | Christopher |
| EMPLOYER POC MIDDLE NAME | R.H. |
| EMPLOYER POC JOB TITLE | Executive Vice President |
| EMPLOYER POC ADDRESS 1 | 2000 Green Road |
| EMPLOYER POC CITY | Ann Arbor |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17349953764 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Lum |
| AGENT ATTORNEY FIRST NAME | Rona |
| AGENT ATTORNEY MIDDLE NAME | Mae |
| AGENT ATTORNEY ADDRESS1 | 691 N. Squirrel Road |
| AGENT ATTORNEY ADDRESS2 | Suite 185 |
| AGENT ATTORNEY CITY | Auburn Hills |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48326 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12483401854 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Rona M. Lum, P.C. |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court and Federal Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Sparrow Hospital |
| WORKSITE ADDRESS1 | 1215 E. Michigan Avenue |
| LCA CASE WORKLOC1 CITY | Lansing |
| WORKSITE COUNTY | INGHAM |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48912 |
| LCA CASE WAGE RATE FROM | 155 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Khami |
| PREPARER FIRST NAME | Elizabeth |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Law Offices of Rona M. Lum |
| PREPARER EMAIL | [email protected] |
