| LCA CASE NUMBER | I-200-21224-517191 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-11 |
| DECISION DATE | 2021-08-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Child Abuse Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-08-18 |
| END DATE | 2024-08-17 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Wayne Pediatrics, Inc. |
| EMPLOYER ADDRESS1 | 400 Mack |
| EMPLOYER ADDRESS2 | Ste. 1 East |
| EMPLOYER CITY | Detroit |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48201 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13134489606 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Owens |
| EMPLOYER POC FIRST NAME | Samona |
| EMPLOYER POC JOB TITLE | Practice Manager |
| EMPLOYER POC ADDRESS1 | 400 Mack |
| EMPLOYER POC ADDRESS2 | Ste. 1 East |
| EMPLOYER POC CITY | Detroit |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48201 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13134489606 |
| EMPLOYER POC EMAIL | sowens@med.wayne.edu |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Mikolajczak |
| AGENT ATTORNEY FIRST NAME | Anna |
| AGENT ATTORNEY ADDRESS1 | 5250 Corporate Drive |
| AGENT ATTORNEY ADDRESS2 | Ste. 300 |
| AGENT ATTORNEY CITY | Troy |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48098 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12486434900 |
| AGENT ATTORNEY EMAIL ADDRESS | Hetasvee@employmentimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Fakhoury Global Immigration, USA PC |
|
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 40 E. Ferry St. |
| LCA CASE WORKLOC1 CITY | Detroit |
| WORKSITE COUNTY | WAYNE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48202 |
| LCA CASE WAGE RATE FROM | 67.22 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 67.22 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Mikolajczak |
| PREPARER FIRST NAME | Anna |
| PREPARER BUSINESS NAME | Fakhoury Global Immigration, USA PC |
| PREPARER EMAIL | Hetasvee@employmentimmigration.com |
