| LCA CASE NUMBER | I-200-21154-365474 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-03 |
| DECISION DATE | 2021-06-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist Physician |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-26 |
| END DATE | 2024-09-25 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | IHA HEALTH SERVICES CORPORATION |
| TRADE NAME DBA | NOT APPLICABLE |
| EMPLOYER ADDRESS1 | 24 FRANK LLOYD WRIGHT DRIVE |
| EMPLOYER ADDRESS2 | LOBBY J, SUITE J2000 |
| EMPLOYER CITY | ANN ARBOR |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48106 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17343270872 |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | BRINK |
| EMPLOYER POC FIRST NAME | JILL |
| EMPLOYER POC JOB TITLE | PROVIDER RELATIONS MANAGER |
| EMPLOYER POC ADDRESS 1 | 24 FRANK LLOYD WRIGHT DRIVE |
| EMPLOYER POC ADDRESS 2 | LOBBY J, SUITE J2000 |
| EMPLOYER POC CITY | ANN ARBOR |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48106 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17343270872 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Badmus |
| AGENT ATTORNEY FIRST NAME | Ann |
| AGENT ATTORNEY MIDDLE NAME | Massey |
| AGENT ATTORNEY ADDRESS1 | 11325 Pegasus Street |
| AGENT ATTORNEY ADDRESS2 | #E-265 |
| AGENT ATTORNEY CITY | Dallas |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75238 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12144948033 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Ann Massey Badmus PC dba Badmus & Associates |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | ST. JOSEPH MERCY ANN ARBOR |
| WORKSITE ADDRESS1 | 5301 MCAULEY DRIVE |
| LCA CASE WORKLOC1 CITY | ANN ARBOR |
| WORKSITE COUNTY | WASHTENAW |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48197 |
| LCA CASE WAGE RATE FROM | 225000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 185890 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
