| LCA CASE NUMBER | I-200-21116-258315 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-04-26 |
| DECISION DATE | 2023-04-18 |
| ORIGINAL CERT DATE | 2021-05-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1029.00 |
| SOC TITLE | Dentists, All Other Specialists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-05 |
| END DATE | 2024-06-04 |
| 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 | Midwest Family Dental Care - Mishawaka LLC |
| EMPLOYER ADDRESS1 | 518 Lincolnway West |
| EMPLOYER CITY | Mishawaka |
| EMPLOYER STATE | IN |
| EMPLOYER POSTAL CODE | 46544 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15742555630 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Vurugonda |
| EMPLOYER POC FIRST NAME | Anupama |
| EMPLOYER POC JOB TITLE | Owner and President |
| EMPLOYER POC ADDRESS1 | 518 Lincolnway West |
| EMPLOYER POC CITY | Mishawaka |
| EMPLOYER POC STATE | IN |
| EMPLOYER POC POSTAL CODE | 46544 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18013190563 |
| EMPLOYER POC EMAIL | Aravind@MidwestPracticeManagement.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Mick |
| AGENT ATTORNEY FIRST NAME | Brian |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 4117 Embassy Dr. SE |
| AGENT ATTORNEY CITY | Grand Rapids |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 49546 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16166065297 |
| AGENT ATTORNEY EMAIL ADDRESS | brian@imlaw.biz |
| LAWFIRM NAME BUSINESS NAME | ImLaw, PC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 518 Lincolnway West |
| LCA CASE WORKLOC1 CITY | Mishawaka |
| WORKSITE COUNTY | ST JOSEPH |
| LCA CASE WORKLOC1 STATE | IN |
| WORKSITE POSTAL CODE | 46544 |
| LCA CASE WAGE RATE FROM | 138424 |
| LCA CASE WAGE RATE TO | 180000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 138424 |
| 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 |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
