| LCA CASE NUMBER | I-200-20007-237317 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-01-07 |
| DECISION DATE | 2020-01-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN (DERMATOLOGY) |
| SOC CODE | 29-1069.02 |
| SOC TITLE | Dermatologists |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-06-21 |
| END DATE | 2023-06-21 |
| 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 | VA ANN ARBOR HEALTHCARE SYSTEM |
| EMPLOYER ADDRESS1 | 2500 GREEN ROAD ROAD |
| EMPLOYER ADDRESS2 | SUITE 200 |
| EMPLOYER CITY | ANN ARBOR |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48105 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17348455640 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | MONTGOMERY |
| EMPLOYER POC FIRST NAME | JONATHAN |
| EMPLOYER POC MIDDLE NAME | ASHLEY |
| EMPLOYER POC JOB TITLE | HUMAN RESOURCES SPECIALIST |
| EMPLOYER POC ADDRESS1 | 2215 FULLER ROAD |
| EMPLOYER POC ADDRESS2 | T-9 MODULAR BUILDING / 3RD FLOOR / HUMAN RESOURCES |
| EMPLOYER POC CITY | ANN ARBOR |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48105 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17348455640 |
| EMPLOYER POC EMAIL | JONATHAN.MONTGOMERY@VA.GOV |
| AGENT REPRESENTING EMPLOYER | N |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2500 GREEN ROAD ROAD |
| WORKSITE ADDRESS2 | SUITE 200 |
| LCA CASE WORKLOC1 CITY | ANN ARBOR |
| WORKSITE COUNTY | WASHTENAW |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48105 |
| LCA CASE WAGE RATE FROM | 130.19 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 78.6 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | MONTGOMERY |
| PREPARER FIRST NAME | JONATHAN |
| PREPARER MIDDLE INITIAL | A. |
| PREPARER BUSINESS NAME | VA ANN ARBOR HEALTHCARE SYSTEM |
| PREPARER EMAIL | JONATHAN.MONTGOMERY@VA.GOV |
