| LCA CASE NUMBER | I-200-22124-134151 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-04 |
| DECISION DATE | 2022-05-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Plastic Surgeon |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-07-18 |
| END DATE | 2025-07-17 |
| 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 | Malhotra Center for Plastic Surgery |
| TRADE NAME DBA | Ann Arbor Plastic Surgery |
| EMPLOYER ADDRESS1 | 2320 Washtenaw Avenue |
| EMPLOYER ADDRESS2 | Suite A |
| EMPLOYER CITY | Ann Arbor |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48104 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17349135100 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Keil |
| EMPLOYER POC FIRST NAME | Sara |
| EMPLOYER POC MIDDLE NAME | Beth |
| EMPLOYER POC JOB TITLE | Practice Manager |
| EMPLOYER POC ADDRESS1 | 2320 Washtenaw Avenue |
| EMPLOYER POC ADDRESS2 | Suite A |
| EMPLOYER POC CITY | Ann Arbor |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17349135100 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Gjezi |
| AGENT ATTORNEY FIRST NAME | Kreuza |
| AGENT ATTORNEY MIDDLE NAME | Lako |
| AGENT ATTORNEY ADDRESS1 | 27777 FRANKLIN ROAD |
| AGENT ATTORNEY ADDRESS2 | 2500 |
| AGENT ATTORNEY CITY | Southfield |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48034 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | MICHIGAN |
| AGENT ATTORNEY PHONE | 12483513000 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Jaffe Raitt Heuer & Weiss PC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | St. Mary Mercy Livonia Hospital |
| WORKSITE ADDRESS1 | 36475 Five Mile Road |
| LCA CASE WORKLOC1 CITY | Livonia |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48154 |
| LCA CASE WAGE RATE FROM | 300000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
