| LCA CASE NUMBER | I-200-22255-465813 |
| STATUS | Denied |
| LCA CASE SUBMIT | 2022-09-12 |
| DECISION DATE | 2022-09-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Certified Registered Nurse Anesthetist |
| SOC CODE | 29-1151.00 |
| SOC TITLE | Nurse Anesthetists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-21 |
| END DATE | 2025-09-20 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | NORTHSTAR ANESTHESIA OF MICHIGAN, PLLC |
| EMPLOYER ADDRESS1 | 6225 N. STATE HIGHWAY 161 |
| EMPLOYER ADDRESS2 | STE 200 |
| EMPLOYER CITY | IRVING |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75038-2241 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17705438486 |
| NAICS CODE | 54169 |
| EMPLOYER POC LAST NAME | TRAPNELL |
| EMPLOYER POC FIRST NAME | BRIAN |
| EMPLOYER POC JOB TITLE | VICE PRESIDENT, HUMAN RESOURCES |
| EMPLOYER POC ADDRESS1 | 6225 N. STATE HIGHWAY 161 |
| EMPLOYER POC ADDRESS2 | SUITE 200 |
| EMPLOYER POC CITY | IRVING |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75038 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17705438486 |
| EMPLOYER POC EMAIL | BRIANTRAPNELL@NORTHSTARANESTHESIA.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | SEWELL |
| AGENT ATTORNEY FIRST NAME | KEELY |
| AGENT ATTORNEY ADDRESS1 | 1403 ELLIS AVE |
| AGENT ATTORNEY CITY | Fort Worth |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 76164 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18173350220 |
| AGENT ATTORNEY EMAIL ADDRESS | keely@immigrationnation.net |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF JASON MILLS, PLLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | TEXAS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3601 W. 13 Mile Rd. |
| LCA CASE WORKLOC1 CITY | Royal Oak |
| WORKSITE COUNTY | OAKLAND |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48073 |
| LCA CASE WAGE RATE FROM | 89 |
| LCA CASE WAGE RATE TO | 105 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 165549 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2021 |
| PW SURVEY PUBLISHER | WILLIS TOWERS WATSON |
| PW SURVEY NAME | 2021 Health Care Middle Management, Professional and Support |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
