| LCA CASE NUMBER | I-200-23130-011621 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-05-10 |
| DECISION DATE | 2023-05-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Resident PGY2 |
| SOC CODE | 29-9099.00 |
| SOC TITLE | Healthcare Practitioners and Technical Workers, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-01 |
| END DATE | 2026-06-30 |
| 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 | Prime Garden City Medical Group, Inc. |
| EMPLOYER ADDRESS1 | 6245 Inkster Road |
| EMPLOYER CITY | Garden City |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48135 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19096380407 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | GUEVARA |
| EMPLOYER POC FIRST NAME | ROMULO |
| EMPLOYER POC MIDDLE NAME | E |
| EMPLOYER POC JOB TITLE | ASSISTANT GENERAL COUNSEL - IMMIGRATION |
| EMPLOYER POC ADDRESS1 | 3480 E. GUASTI RD. |
| EMPLOYER POC ADDRESS2 | 2ND FL - LEGAL DEPT. |
| EMPLOYER POC CITY | ONTARIO |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91761 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19096380407 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | GUEVARA |
| AGENT ATTORNEY FIRST NAME | ROMULO |
| AGENT ATTORNEY MIDDLE NAME | E |
| AGENT ATTORNEY ADDRESS1 | 3480 E. GUASTI RD. |
| AGENT ATTORNEY ADDRESS2 | 2ND FL - LEGAL DEPT. |
| AGENT ATTORNEY CITY | ONTARIO |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91761 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19096380407 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | PRIME HEALTHCARE MANAGEMENT, INC. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF ILLINOIS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6245 Inkster Road |
| LCA CASE WORKLOC1 CITY | Garden City |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48187 |
| LCA CASE WAGE RATE FROM | 48654 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 36109 |
| 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 |
