| LCA CASE NUMBER | I-200-22104-069988 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-14 |
| DECISION DATE | 2022-04-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Anesthesiologist |
| SOC CODE | 29-1061.00 |
| SOC TITLE | Anesthesiologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-10-08 |
| END DATE | 2025-10-07 |
| 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 | NorthStar Anesthesia of Michigan PLLC |
| EMPLOYER ADDRESS1 | 6225 N. State Hwy 161 |
| EMPLOYER ADDRESS2 | Ste. 200 |
| EMPLOYER CITY | Irving |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75038 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12146870519 |
| NAICS CODE | 621999 |
| EMPLOYER POC LAST NAME | Subblefield |
| EMPLOYER POC FIRST NAME | Amanda |
| EMPLOYER POC JOB TITLE | HR Business Partner & Corporate Recruiter |
| EMPLOYER POC ADDRESS1 | 6225 N. State Hwy 161 |
| EMPLOYER POC ADDRESS2 | Ste. 200 |
| EMPLOYER POC CITY | Irving |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75038 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12146870684 |
| EMPLOYER POC EMAIL | Amanda.Stubblefield@northstaranesthesia.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Fabian |
| AGENT ATTORNEY FIRST NAME | Melle |
| AGENT ATTORNEY ADDRESS1 | 10100 Katy Freeway, Suite 600 |
| AGENT ATTORNEY CITY | Houston |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77043 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | TEXAS |
| AGENT ATTORNEY PHONE | 14692909388 |
| AGENT ATTORNEY EMAIL ADDRESS | mfabian@bal.com |
| LAWFIRM NAME BUSINESS NAME | Berry Appleman & Leiden LLP |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Texas Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3990, John R Street, Medical Center |
| LCA CASE WORKLOC1 CITY | Detroit |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48201 |
| LCA CASE WAGE RATE FROM | 405000 |
| LCA CASE WAGE RATE TO | 430000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Dulovics |
| PREPARER FIRST NAME | Jo Ann |
| PREPARER BUSINESS NAME | Berry Appleman & Leiden LLP |
| PREPARER EMAIL | jodulovics@bal.com |
