| LCA CASE NUMBER | I-200-21112-248774 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-22 |
| DECISION DATE | 2021-04-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| 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 | COVENANT MEDICAL CENTER, INC. |
| TRADE NAME DBA | COVENANT HEALTHCARE |
| EMPLOYER ADDRESS1 | 1447 N HARRISON STREET |
| EMPLOYER CITY | SAGINAW |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48602 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19895837555 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Marteja |
| EMPLOYER POC FIRST NAME | Iris |
| EMPLOYER POC JOB TITLE | MD, MHA, CEO/ Covenant Medical Group |
| EMPLOYER POC ADDRESS 1 | 1447 N. Harrison St. |
| EMPLOYER POC CITY | Saginaw |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48602 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19895837555 |
| EMPLOYER POC EMAIL | Imarteja@chs-mi.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | LEVASSEUR |
| AGENT ATTORNEY FIRST NAME | Elise |
| AGENT ATTORNEY MIDDLE NAME | Suzanne |
| AGENT ATTORNEY ADDRESS1 | 2600 West Big Beaver Road |
| AGENT ATTORNEY ADDRESS2 | Suite 300 |
| AGENT ATTORNEY CITY | Troy |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48084 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12484337520 |
| AGENT ATTORNEY EMAIL ADDRESS | ELevasseur@dickinsonwright.com |
| LAWFIRM NAME BUSINESS NAME | Dickinson Wright PLLC |
|
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2919 E. Wilder Rd. |
| LCA CASE WORKLOC1 CITY | Bay City |
| WORKSITE COUNTY | BAY |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48706 |
| LCA CASE WAGE RATE FROM | 215000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 160555 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 Employment |
