| LCA CASE NUMBER | I-200-21116-258493 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-26 |
| DECISION DATE | 2021-05-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-01 |
| END DATE | 2024-07-31 |
| 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 | Henry Ford Health System |
| EMPLOYER ADDRESS1 | 1 Ford Place |
| EMPLOYER CITY | Detroit |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48202 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13138746155 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Champney |
| EMPLOYER POC FIRST NAME | Elizabeth |
| EMPLOYER POC JOB TITLE | HR Compliance Analyst |
| EMPLOYER POC ADDRESS 1 | 1 Ford Place |
| EMPLOYER POC CITY | Detroit |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48202 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13133550827 |
| EMPLOYER POC EMAIL | hrcompliance@hfhs.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Church |
| AGENT ATTORNEY FIRST NAME | Mary |
| AGENT ATTORNEY MIDDLE NAME | Kathleen |
| AGENT ATTORNEY ADDRESS1 | 755 West Big Beaver Road |
| AGENT ATTORNEY ADDRESS2 | Suite 1100 |
| AGENT ATTORNEY CITY | Troy |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48084 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12485199900 |
| AGENT ATTORNEY EMAIL ADDRESS | marykate.church@ellisporter.com |
| LAWFIRM NAME BUSINESS NAME | Ellis Porter PLC |
| STATE OF HIGHEST COURT | MI |
|
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 67267 Main Street |
| LCA CASE WORKLOC1 CITY | Richmond |
| WORKSITE COUNTY | MACOMB |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48062 |
| LCA CASE WAGE RATE FROM | 98.07 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 77.6 |
| PW UNIT OF PAY | Hour |
| 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 Business |
