| LCA CASE NUMBER | I-200-22213-387563 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-08-01 |
| DECISION DATE | 2022-08-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Family Medicine) |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-08-21 |
| END DATE | 2025-08-20 |
| 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 | Ascension Borgess Lee Hospital |
| EMPLOYER ADDRESS1 | 420 W. High Street |
| EMPLOYER CITY | Dowagiac |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49047 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12692267420 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Thomas |
| EMPLOYER POC FIRST NAME | Carla |
| EMPLOYER POC JOB TITLE | Physician Recruiter |
| EMPLOYER POC ADDRESS1 | 1535 Gull Road |
| EMPLOYER POC ADDRESS2 | Ste. 305 |
| EMPLOYER POC CITY | Kalamazoo |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49048 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12692267420 |
| EMPLOYER POC EMAIL | carla.thomas1@ascension.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Fillenwarth |
| AGENT ATTORNEY FIRST NAME | Charlotte |
| AGENT ATTORNEY MIDDLE NAME | Marie |
| AGENT ATTORNEY ADDRESS1 | 500 North 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 | 13179771476 |
| AGENT ATTORNEY EMAIL ADDRESS | CFillenwarth@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 | True |
| SECONDARY ENTITY BUSINESS NAME | Ascension Medical Group Family Practice |
| WORKSITE ADDRESS1 | 520 Main Street |
| LCA CASE WORKLOC1 CITY | Dowagiac |
| WORKSITE COUNTY | CASS |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49047 |
| LCA CASE WAGE RATE FROM | 230000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 115814 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
