| LCA CASE NUMBER | I-200-22003-802670 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2022-01-03 |
| DECISION DATE | 2022-01-10 |
| ORIGINAL CERT DATE | 2022-01-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Business Intelligence Developer |
| SOC CODE | 15-1121.00 |
| SOC TITLE | Computer Systems Analysts |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-17 |
| END DATE | 2025-01-09 |
| 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 | University Physician Group |
| TRADE NAME DBA | Wayne Health |
| EMPLOYER ADDRESS1 | 400 Mack Avenue |
| EMPLOYER CITY | Detroit |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12485815869 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Taylor |
| EMPLOYER POC FIRST NAME | Ebony |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 400 Mack Avenue |
| EMPLOYER POC CITY | Detroit |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13134489002 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | McCarroll |
| AGENT ATTORNEY FIRST NAME | Kate |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 500 Woodward Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Detroit |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48226 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13139651286 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Kerr Russell & Weber, PLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Beneficiary's home office |
| WORKSITE ADDRESS1 | 74 Gateway Boulevard |
| WORKSITE ADDRESS2 | Apt. 203 |
| LCA CASE WORKLOC1 CITY | Hillsborough |
| WORKSITE COUNTY | SOMERSET |
| LCA CASE WORKLOC1 STATE | NJ |
| WORKSITE POSTAL CODE | 08844 |
| LCA CASE WAGE RATE FROM | 92560 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 92560 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
