| LCA CASE NUMBER | I-200-21099-212491 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-09 |
| DECISION DATE | 2021-04-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Resident (Internal Medicine) |
| SOC CODE | 29-9099.00 |
| SOC TITLE | Healthcare Practitioners and Technical Workers, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-01 |
| END DATE | 2023-06-30 |
| 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 | ASCENSION MACOMB OAKLAND HOSPITAL |
| EMPLOYER ADDRESS1 | 11800 E. 12 MILE RD. |
| EMPLOYER CITY | WARREN |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48093 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15865764145 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | BARRETTO |
| EMPLOYER POC FIRST NAME | RAFAEL |
| EMPLOYER POC JOB TITLE | DIRECTOR, MEDICAL EDUCATION |
| EMPLOYER POC ADDRESS 1 | 11800 E. 12 MILE RD. |
| EMPLOYER POC CITY | WARREN |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48093 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13134994962 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| 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 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | HALL, RENDER, KILLIAN, HEATH & LYMAN, PC |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 11800 Twelve Mile Rd. |
| LCA CASE WORKLOC1 CITY | Warren |
| WORKSITE COUNTY | MACOMB |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48093 |
| LCA CASE WAGE RATE FROM | 54109.98 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 38376 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
