| LCA CASE NUMBER | I-200-21288-647521 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-15 |
| DECISION DATE | 2021-10-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-06 |
| END DATE | 2024-12-05 |
| 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 | Downriver Community Services, Inc. |
| TRADE NAME DBA | Community First Health Centers |
| EMPLOYER ADDRESS1 | 555 St. Clair River Drive |
| EMPLOYER CITY | Algonac |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48001 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18107944982 |
| EMPLOYER PHONE EXT | 148 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Marcangelo |
| EMPLOYER POC FIRST NAME | Lisa |
| EMPLOYER POC JOB TITLE | HR Administator |
| EMPLOYER POC ADDRESS1 | 555 St. Clair River Drive |
| EMPLOYER POC CITY | Algonac |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48001 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18107944982 |
| EMPLOYER POC PHONE EXT | 148 |
| EMPLOYER POC EMAIL | lmarcangelo@communityfirsthc.org |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 555 St. Clair River Drive |
| LCA CASE WORKLOC1 CITY | Algonac |
| WORKSITE COUNTY | ST CLAIR |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48001 |
| LCA CASE WAGE RATE FROM | 170000 |
| LCA CASE WAGE RATE TO | 230000 |
| LCA CASE WAGE RATE UNIT | Year |
|
| PREVAILING WAGE | 163072 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Pearson |
| PREPARER FIRST NAME | Jeffrey |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Pearson Associates |
| PREPARER EMAIL | jpearsonassociates@gmail.com |
