| LCA CASE NUMBER | I-200-21127-297784 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-07 |
| DECISION DATE | 2021-05-14 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Resident (Internal Medicine) |
| SOC CODE | 29-9099.00 |
| SOC TITLE | Healthcare Practitioners and Technical Workers, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-22 |
| END DATE | 2023-06-30 |
| 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 | Ascension St. John Hospital |
| EMPLOYER ADDRESS1 | 19251 Mack Avenue |
| EMPLOYER ADDRESS2 | Suite 340 |
| EMPLOYER CITY | Grosse Pointe Woods |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48236 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13133433878 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Murphy |
| EMPLOYER POC FIRST NAME | Kelly |
| EMPLOYER POC JOB TITLE | GME Specialist |
| EMPLOYER POC ADDRESS 1 | 19251 MACK AVENUE |
| EMPLOYER POC ADDRESS 2 | SUITE 340 |
| EMPLOYER POC CITY | GROSSE POINTE WOODS |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48236 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13133433878 |
| EMPLOYER POC EMAIL | KELLY.MURPHY2@ASCENSION.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kim |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | Lee |
| AGENT ATTORNEY ADDRESS1 | 500 North Meridian Street |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Indianapolis |
| AGENT ATTORNEY STATE | IN |
| AGENT ATTORNEY POSTAL CODE | 46204 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13179771418 |
| AGENT ATTORNEY EMAIL ADDRESS | gshelton@hallrender.com |
| LAWFIRM NAME BUSINESS NAME | HALL, RENDER, KILLIAN, HEATH & LYMAN, PC |
| STATE OF HIGHEST COURT | IN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 22101 Moross Road |
| LCA CASE WORKLOC1 CITY | Detroit |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48236 |
| LCA CASE WAGE RATE FROM | 54084 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 38376 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 6 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
