| LCA CASE NUMBER | I-200-21137-317719 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-17 |
| DECISION DATE | 2021-05-24 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN FAMILY MEDICINE |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| TOTAL WORKER POSITIONS | 2 |
| NEW EMPLOYMENT | 2 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | MEMORIAL HOSPITAL |
| TRADE NAME DBA | MEMORIAL MEDICAL ASSOCIATES |
| EMPLOYER ADDRESS1 | 826 W KING ST |
| EMPLOYER CITY | OWOSSO |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48867 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19897294502 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | PAPPAS |
| EMPLOYER POC FIRST NAME | LINDA |
| EMPLOYER POC JOB TITLE | EXECUTIVE ASSISTANT |
| EMPLOYER POC ADDRESS 1 | 826 W KING ST |
| EMPLOYER POC CITY | OWOSSO |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48867 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19897294502 |
| EMPLOYER POC EMAIL | HCASWEL@MEMORIALHEALTHCARE.ORG |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 2 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3337 West Britton Road |
| LCA CASE WORKLOC1 CITY | Perry |
| WORKSITE COUNTY | SHIAWASSEE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48872 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE TO | 250000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
|
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
