| LCA CASE NUMBER | I-200-21007-001452 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-07 |
| DECISION DATE | 2021-01-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Interventional Radiology Physician |
| SOC CODE | 29-1069.10 |
| SOC TITLE | Radiologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-02-01 |
| END DATE | 2024-01-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Advanced Radiology Services, P.C. |
| EMPLOYER ADDRESS1 | 3264 N Evergreen Dr. NE |
| EMPLOYER CITY | Grand Rapids |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49525 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16163637251 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Perkovic |
| EMPLOYER POC FIRST NAME | Laura |
| EMPLOYER POC JOB TITLE | Chief Legal Officer |
| EMPLOYER POC ADDRESS 1 | 3264 N Evergreen Dr. NE |
| EMPLOYER POC CITY | Grand Rapids |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49525 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16163637251 |
| EMPLOYER POC EMAIL | LPerkovic@starsadmin.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Campbell Walker |
| AGENT ATTORNEY FIRST NAME | Kathleen |
| AGENT ATTORNEY ADDRESS1 | 221 N. Kansas St. |
| AGENT ATTORNEY ADDRESS2 | Suite 2000 |
| AGENT ATTORNEY CITY | El Paso |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 79901 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19155419360 |
| AGENT ATTORNEY EMAIL ADDRESS | kwalker@dickinson-wright.com |
| LAWFIRM NAME BUSINESS NAME | Dickinson Wright PLLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | TX and US Supreme Courts |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Ascension Macomb-Oakland Hospital - Warren Campus |
| WORKSITE ADDRESS1 | 11800 Twelve Mile Rd. |
| LCA CASE WORKLOC1 CITY | Warren |
| WORKSITE COUNTY | MACOMB |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48093 |
| LCA CASE WAGE RATE FROM | 180357 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 180357 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Barboza Del Toro |
| PREPARER FIRST NAME | Maria |
| PREPARER MIDDLE INITIAL | C |
| PREPARER BUSINESS NAME | Dickinson Wright PLLC |
| PREPARER EMAIL | mbarbozadeltoro@dickinson-wright.com |
