| LCA CASE NUMBER | I-200-21159-380189 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-08 |
| DECISION DATE | 2021-06-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Endocrinologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-28 |
| END DATE | 2023-07-23 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Port Huron Physicians Medical Group, PC |
| TRADE NAME DBA | Port Huron Physicians Medical Group |
| EMPLOYER ADDRESS1 | 2601 Electric Ave. |
| EMPLOYER CITY | Port Huron |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48060 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18102161094 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Angeles |
| EMPLOYER POC FIRST NAME | Angela |
| EMPLOYER POC JOB TITLE | Assistant General Counsel - Immigration |
| EMPLOYER POC ADDRESS 1 | 3480 E. Guasti Road |
| EMPLOYER POC CITY | Ontario |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91761 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19096575031 |
| EMPLOYER POC EMAIL | aangeles1@primehealthcare.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Chary |
| AGENT ATTORNEY FIRST NAME | Siddharth |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 175 Kent Ave. |
| AGENT ATTORNEY ADDRESS2 | 416 |
| AGENT ATTORNEY CITY | Brooklyn |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12129608365 |
| AGENT ATTORNEY EMAIL ADDRESS | sid@charylaw.com |
| LAWFIRM NAME BUSINESS NAME | The Chary Law Firm, P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2601 Electric Ave. |
| LCA CASE WORKLOC1 CITY | Port Huron |
| WORKSITE COUNTY | ST CLAIR |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48060 |
| LCA CASE WAGE RATE FROM | 230000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 180357 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
