| LCA CASE NUMBER | I-200-23047-781293 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-02-16 |
| DECISION DATE | 2023-02-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| 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 | W.A. Foote Memorial Hospital, Inc. |
| TRADE NAME DBA | Henry Ford Jackson Hospital |
| EMPLOYER ADDRESS1 | 205 N. East Ave. |
| EMPLOYER CITY | Jackson |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15177884800 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Eagen |
| EMPLOYER POC FIRST NAME | Darcey |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 205 N. East Avenue |
| EMPLOYER POC CITY | Jackson |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15172057322 |
| EMPLOYER POC EMAIL | deagen1@hfhs.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sawicka |
| AGENT ATTORNEY FIRST NAME | Ewelina |
| AGENT ATTORNEY MIDDLE NAME | Malgorzata |
| AGENT ATTORNEY ADDRESS1 | 755 W. Big Beaver Road |
| AGENT ATTORNEY ADDRESS2 | Suite 1100 |
| AGENT ATTORNEY CITY | Troy |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48084 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | MICHIGAN |
| AGENT ATTORNEY PHONE | 12485199900 |
| AGENT ATTORNEY EMAIL ADDRESS | ewelina.sawicka@ellisporter.com |
| LAWFIRM NAME BUSINESS NAME | Ellis Porter PLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1401 W. North St. |
| LCA CASE WORKLOC1 CITY | Jackson |
| WORKSITE COUNTY | JACKSON |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49202 |
| LCA CASE WAGE RATE FROM | 220000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 122886 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
