| LCA CASE NUMBER | I-200-21075-149646 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-16 |
| DECISION DATE | 2021-03-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Anesthesiologist MD |
| SOC CODE | 29-1061.00 |
| SOC TITLE | Anesthesiologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-01 |
| END DATE | 2022-10-10 |
| 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 | NorthStar Anesthesia of Michigan III, PLLC |
| EMPLOYER ADDRESS1 | 6225 N. State Highway, 161 |
| EMPLOYER ADDRESS2 | Suite 200 |
| EMPLOYER CITY | Irving |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75038 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12146870684 |
| NAICS CODE | 54169 |
| EMPLOYER POC LAST NAME | Stubblefield |
| EMPLOYER POC FIRST NAME | Amanda |
| EMPLOYER POC JOB TITLE | HR Business Partner & Recruiter |
| EMPLOYER POC ADDRESS 1 | 6225 North State Highway 161 |
| EMPLOYER POC ADDRESS 2 | Suite 200 |
| EMPLOYER POC CITY | Irving |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75038 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12146870684 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sewell |
| AGENT ATTORNEY FIRST NAME | Keely |
| AGENT ATTORNEY ADDRESS1 | 1403 Ellis Ave |
| AGENT ATTORNEY CITY | Fort Worth |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 76164 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18173350220 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Office of Jason Mills, PLLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Texas Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3601W 13 Mile Rd |
| LCA CASE WORKLOC1 CITY | Royal Oak |
| WORKSITE COUNTY | OAKLAND |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48703 |
| LCA CASE WAGE RATE FROM | 400000 |
| LCA CASE WAGE RATE TO | 450000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 368800 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2019 |
| PW SURVEY PUBLISHER | Willis Towers Watson |
| PW SURVEY NAME | 2019 Health Care Clinical and Professional Compensation Surv |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
