| LCA CASE NUMBER | I-200-20044-319898 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-12 |
| DECISION DATE | 2020-02-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-10 |
| END DATE | 2023-08-01 |
| 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 | Midan Medical Holdings PLLC |
| EMPLOYER ADDRESS1 | 2786 East Highland Rd. |
| EMPLOYER CITY | Highland Charter Township |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48356 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12488877877 |
| NAICS CODE | 621493 |
| EMPLOYER POC LAST NAME | Shukairy |
| EMPLOYER POC FIRST NAME | Ghaz |
| EMPLOYER POC JOB TITLE | Owner/Administrator |
| EMPLOYER POC ADDRESS1 | 2786 East Highland Rd. |
| EMPLOYER POC CITY | Highland Charter Township |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48356 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12488877877 |
| EMPLOYER POC EMAIL | gshukairy@gmail.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Khan |
| AGENT ATTORNEY FIRST NAME | Sheeba |
| AGENT ATTORNEY ADDRESS1 | 23023 Orchard Lake Road |
| AGENT ATTORNEY ADDRESS2 | Bldg. A2 |
| AGENT ATTORNEY CITY | Farmington |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48336 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12488880201.0 |
| AGENT ATTORNEY EMAIL ADDRESS | sheeba@khanlaw.com |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF SHEEBA KHAN PLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2786 East Highland Rd |
| LCA CASE WORKLOC1 CITY | Highland Charter Township |
| WORKSITE COUNTY | OAKLAND |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48356 |
| LCA CASE WAGE RATE FROM | 89898.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 89898.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 | Khan |
| PREPARER FIRST NAME | Sheeba |
| PREPARER BUSINESS NAME | LAW OFFICES OF SHEEBA KHAN PLC |
| PREPARER EMAIL | sheeba@khanlaw.com |
