| LCA CASE NUMBER | I-200-21074-147152 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-15 |
| DECISION DATE | 2021-03-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff Physician |
| SOC CODE | 29-1069.07 |
| SOC TITLE | Pathologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-01 |
| END DATE | 2024-08-31 |
| 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 | William Beaumont Hospital |
| EMPLOYER ADDRESS1 | 26901 Beaumont Boulevard |
| EMPLOYER CITY | Southfield |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48033 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19475221668 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Olsen |
| EMPLOYER POC FIRST NAME | Marianne |
| EMPLOYER POC MIDDLE NAME | Catherine |
| EMPLOYER POC JOB TITLE | Director, Human Resources, Physician Services |
| EMPLOYER POC ADDRESS 1 | 26901 Beaumont Boulevard |
| EMPLOYER POC ADDRESS 2 | Suite 2C/1103 |
| EMPLOYER POC CITY | Southfield |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48033 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19475221668 |
| EMPLOYER POC EMAIL | marianne.olsen@beaumont.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sherman |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | Ian |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 252133 |
| AGENT ATTORNEY CITY | West Bloomfield |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48325 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12488517575 |
| AGENT ATTORNEY EMAIL ADDRESS | greencards@aol.com |
| LAWFIRM NAME BUSINESS NAME | Sherman Immigration Lawyers, P.C. |
|
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3601 West Thirteen Mile Road |
| LCA CASE WORKLOC1 CITY | Royal Oak |
| WORKSITE COUNTY | OAKLAND |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48073 |
| LCA CASE WAGE RATE FROM | 296100 |
| 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 | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
