| LCA CASE NUMBER | I-200-21291-649968 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-18 |
| DECISION DATE | 2021-10-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Family Medicine) |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-18 |
| END DATE | 2024-10-17 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Ascension Medical Group ProMed |
| TRADE NAME DBA | Borgess Medical Group |
| EMPLOYER ADDRESS1 | 1521 Gull Road |
| EMPLOYER CITY | Kalamazoo |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49048 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12695992882 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Kreitner |
| EMPLOYER POC FIRST NAME | Samantha |
| EMPLOYER POC JOB TITLE | AMG Physician Practice Director - Primary Care Division |
| EMPLOYER POC ADDRESS1 | 1521 Gull Road |
| EMPLOYER POC CITY | Kalamazoo |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49048 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12695992882 |
| EMPLOYER POC EMAIL | Samantha.Kreitner@ascension.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ramsey |
| AGENT ATTORNEY FIRST NAME | Lindsay |
| AGENT ATTORNEY MIDDLE NAME | Carlberg |
| AGENT ATTORNEY ADDRESS1 | 500 N. Meridian Street |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46204 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13174293637 |
| AGENT ATTORNEY EMAIL ADDRESS | lramsey@hallrender.com |
| LAWFIRM NAME BUSINESS NAME | Hall Render Killian Heath & Lyman, P.C. |
|
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1555 East Chicago Street |
| LCA CASE WORKLOC1 CITY | Sturgis |
| WORKSITE COUNTY | ST JOSEPH |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49091 |
| LCA CASE WAGE RATE FROM | 230000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 180253 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
