| LCA CASE NUMBER | I-200-23090-893662 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-03-31 |
| DECISION DATE | 2023-04-07 |
| 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 | 2023-07-17 |
| END DATE | 2026-07-16 |
| 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 | Covenant Medical Center, Inc. |
| TRADE NAME DBA | Covenant Healthcare |
| EMPLOYER ADDRESS1 | 1447 North Harrison Street |
| EMPLOYER CITY | Saginaw |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48602 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19895837555 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Marteja |
| EMPLOYER POC FIRST NAME | Iris |
| EMPLOYER POC JOB TITLE | MD, MHA - VP/CEO Covenant Medical Group |
| EMPLOYER POC ADDRESS1 | 1447 North Harrison Street |
| 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 | Sintjago |
| AGENT ATTORNEY FIRST NAME | Eleanor |
| AGENT ATTORNEY MIDDLE NAME | Jane |
| AGENT ATTORNEY ADDRESS1 | 31555 West Fourteen Mile Road |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Farmington Hills |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48334 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12484064100 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Antone, Casagrande and Adwers, PC |
|
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court of Minnesota |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1910 Pine Avenue |
| LCA CASE WORKLOC1 CITY | Alma |
| WORKSITE COUNTY | GRATIOT |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48801 |
| LCA CASE WAGE RATE FROM | 235000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 114712 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
