| LCA CASE NUMBER | I-200-23020-716319 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-01-20 |
| DECISION DATE | 2023-01-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-02-01 |
| END DATE | 2026-01-31 |
| 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 | Upper Great Lakes Family Health Center |
| EMPLOYER ADDRESS1 | 135 East M-35 |
| EMPLOYER CITY | Gwinn |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49941 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19064831325 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Simila |
| EMPLOYER POC FIRST NAME | Donald |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 56901 S. 6th St. |
| EMPLOYER POC ADDRESS2 | Suite 1&2 |
| EMPLOYER POC CITY | Calumet |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49913 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19064831325 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Chary |
| AGENT ATTORNEY FIRST NAME | Siddharth |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 1123 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 1210 |
| AGENT ATTORNEY CITY | NEW YORK CITY |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12129608365 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Chary Law P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 945 9th St. |
| LCA CASE WORKLOC1 CITY | Lake Linden |
| WORKSITE COUNTY | HOUGHTON |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49945 |
| LCA CASE WAGE RATE FROM | 240000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 147992 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
