| LCA CASE NUMBER | I-200-21146-347406 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-26 |
| DECISION DATE | 2021-06-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1064.00 |
| SOC TITLE | Obstetricians and Gynecologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | Paint Creek Obstetrics and Gynecology PC |
| EMPLOYER ADDRESS1 | 6700 N Rochester Road |
| EMPLOYER ADDRESS2 | Suite 210 |
| EMPLOYER CITY | Rochester Hills |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48306 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12486501534 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Wolfe |
| EMPLOYER POC FIRST NAME | Thomas |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 6700 N. Rochester Road |
| EMPLOYER POC ADDRESS 2 | Suite 210 |
| EMPLOYER POC CITY | Rochester Hills |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48306 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12486501534 |
| EMPLOYER POC EMAIL | thomaswolfe23@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Gjezi |
| AGENT ATTORNEY FIRST NAME | Kreuza |
| AGENT ATTORNEY MIDDLE NAME | Lako |
| AGENT ATTORNEY ADDRESS1 | 27777 FRANKLIN ROAD |
| AGENT ATTORNEY ADDRESS2 | 2500 |
| AGENT ATTORNEY CITY | Southfield |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48034 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | MICHIGAN |
| AGENT ATTORNEY PHONE | 12483513000 |
|
| AGENT ATTORNEY EMAIL ADDRESS | kgjezi@jaffelaw.com |
| LAWFIRM NAME BUSINESS NAME | Jaffe Raitt Heuer & Weiss PC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Michigan Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6700 N. Rochester Road |
| WORKSITE ADDRESS2 | Suite 210 |
| LCA CASE WORKLOC1 CITY | Rochester Hills |
| WORKSITE COUNTY | OAKLAND |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48306 |
| LCA CASE WAGE RATE FROM | 120000 |
| LCA CASE WAGE RATE TO | 180000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 117000 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
