| LCA CASE NUMBER | I-200-21243-555966 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-08-31 |
| DECISION DATE | 2021-10-13 |
| ORIGINAL CERT DATE | 2021-09-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff Physician/Hospitalist |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-06-29 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | COVENANT MEDICAL CENTER, INC. |
| TRADE NAME DBA | COVENANT HEALTHCARE |
| EMPLOYER ADDRESS1 | 1447 N HARRISON STREET |
| EMPLOYER CITY | SAGINAW |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48602 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19895837555 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Marteja |
| EMPLOYER POC FIRST NAME | Iris |
| EMPLOYER POC JOB TITLE | MD, MHA, CEO/ Covenant Medical Group |
| EMPLOYER POC ADDRESS1 | 1447 N. Harrison St. |
| EMPLOYER POC CITY | Saginaw |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48602 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19895837555 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | LEVASSEUR |
| AGENT ATTORNEY FIRST NAME | Elise |
| AGENT ATTORNEY MIDDLE NAME | Suzanne |
| AGENT ATTORNEY ADDRESS1 | 2600 West Big Beaver Road |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | Troy |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48084 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12484337520 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Dickinson Wright PLLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1447 N. Harrison St. |
| LCA CASE WORKLOC1 CITY | Saginaw |
| WORKSITE COUNTY | SAGINAW |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48602 |
| LCA CASE WAGE RATE FROM | 122.99 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 109.88 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
