| LCA CASE NUMBER | I-200-20164-649678 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-12 |
| DECISION DATE | 2020-06-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Endocrinologist |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-24 |
| END DATE | 2023-07-23 |
| 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 | Port Huron Physicians Medical Group, PC |
| TRADE NAME DBA | Port Huron Physicians Medical Group |
| EMPLOYER ADDRESS1 | 4190 24th Avenue |
| EMPLOYER ADDRESS2 | Suite 201 |
| EMPLOYER CITY | Fort Gratiot |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48059 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18102161500 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Seifert |
| EMPLOYER POC FIRST NAME | Debbie |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 2601 Electric Avenue |
| EMPLOYER POC CITY | Port Huron |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48060 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18102161500 |
| EMPLOYER POC EMAIL | dseifert@primehealthcare.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Desposito |
| AGENT ATTORNEY FIRST NAME | Andrew |
| AGENT ATTORNEY MIDDLE NAME | J |
| AGENT ATTORNEY ADDRESS1 | 3480 E. Guasti Rd. |
| AGENT ATTORNEY ADDRESS2 | 2nd Fl |
| AGENT ATTORNEY CITY | Ontario |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91761 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19092354302.0 |
| AGENT ATTORNEY EMAIL ADDRESS | adesposito@primehealthcare.com |
| LAWFIRM NAME BUSINESS NAME | Prime Healthcare Management, Inc. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 4190 24th Avenue |
| WORKSITE ADDRESS2 | Suite 201 |
| LCA CASE WORKLOC1 CITY | Fort Gratiot |
| WORKSITE COUNTY | ST CLAIR |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48059 |
| LCA CASE WAGE RATE FROM | 230000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 189613.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
