| LCA CASE NUMBER | I-200-21075-150694 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-16 |
| DECISION DATE | 2021-03-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nephrologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-15 |
| END DATE | 2024-07-14 |
| 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 | Renal Associates of West Michigan, P.C. |
| EMPLOYER ADDRESS1 | 330 E. Beltline Ave. NE, Suite 100 |
| EMPLOYER CITY | Grand Rapids |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49506 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16167526235 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Klocke |
| EMPLOYER POC FIRST NAME | Amelia |
| EMPLOYER POC JOB TITLE | Practice Administrator |
| EMPLOYER POC ADDRESS 1 | 330 East Beltline Ave. NE, Suite 100 |
| EMPLOYER POC CITY | Grand Rapids |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49506 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16167526382 |
| EMPLOYER POC EMAIL | aklocke@renalgr.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Jenkins |
| AGENT ATTORNEY FIRST NAME | Angela |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 150 Ottawa Ave. NW, Suite 1500 |
| AGENT ATTORNEY CITY | Grand Rapids |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 49503 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16167522480 |
| AGENT ATTORNEY EMAIL ADDRESS | ajenkins@wnj.com |
| LAWFIRM NAME BUSINESS NAME | Warner Norcross + Judd LLP |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 330 E. Beltline Ave. NE, Suite 100 |
| LCA CASE WORKLOC1 CITY | Grand Rapids |
| WORKSITE COUNTY | KENT |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49506 |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE TO | 260000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 204880 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
| PREPARER LAST NAME | Van Essen |
| PREPARER FIRST NAME | Marcia |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Warner Norcross + Judd LLP |
| PREPARER EMAIL | mvanessen@wnj.com |
