| LCA CASE NUMBER | I-200-21299-668917 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-26 |
| DECISION DATE | 2021-11-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Radiologist |
| SOC CODE | 29-1069.10 |
| SOC TITLE | Radiologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-01-01 |
| END DATE | 2024-12-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | X-Ray Associates of Port Huron, P.C. |
| EMPLOYER ADDRESS1 | P.O. Box 610458 |
| EMPLOYER CITY | Port Huron |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48061 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18104843382 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Mauch |
| EMPLOYER POC FIRST NAME | Edward |
| EMPLOYER POC MIDDLE NAME | James |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | PO Box 610458 |
| EMPLOYER POC CITY | Port Huron |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48061 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18104843382 |
| EMPLOYER POC EMAIL | emauch@hotmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wooley |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY ADDRESS1 | 715 E Main Street |
| AGENT ATTORNEY CITY | Midland |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48640 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19896983715 |
| AGENT ATTORNEY EMAIL ADDRESS | mwooley@wnj.com |
| LAWFIRM NAME BUSINESS NAME | Warner Norcross + Judd LLP |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | MI |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | McLaren Port Huron |
| WORKSITE ADDRESS1 | 1221 Pine Grove Avenue |
| LCA CASE WORKLOC1 CITY | Port Huron |
| WORKSITE COUNTY | ST CLAIR |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48060 |
| LCA CASE WAGE RATE FROM | 375000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 190570 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
