| LCA CASE NUMBER | I-200-23039-759804 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-02-08 |
| DECISION DATE | 2023-02-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | RESIDENT PHYSICIAN |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-03-31 |
| END DATE | 2026-03-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | EDWARD W. SPARROW HOSPITAL ASSOCIATION |
| EMPLOYER ADDRESS1 | 1200 E. MICHIGAN AVE |
| EMPLOYER ADDRESS2 | SUITE 340 |
| EMPLOYER CITY | LANSING |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48912 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15173645140 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | KOSLOSKI |
| EMPLOYER POC FIRST NAME | ANDREA |
| EMPLOYER POC JOB TITLE | VP OF LEGAL AND RISK MANAGEMENT |
| EMPLOYER POC ADDRESS1 | 1200 E. MICHIGAN AVE. |
| EMPLOYER POC ADDRESS2 | SUITE 340 |
| EMPLOYER POC CITY | LANSING |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48912 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15173645140 |
| EMPLOYER POC EMAIL | BRANDY.ROTHENBERGER@SPARROW.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | PERSINGER |
| AGENT ATTORNEY FIRST NAME | DANIEL |
| AGENT ATTORNEY ADDRESS1 | 1500 WARNER BUILDING |
| AGENT ATTORNEY ADDRESS2 | 150 OTTAWA AVE., NW |
| AGENT ATTORNEY CITY | GRAND RAPIDS |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 49503 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16167522353 |
| AGENT ATTORNEY EMAIL ADDRESS | DPERSINGER@WNJ.COM |
| LAWFIRM NAME BUSINESS NAME | WARNER NORCROSS + JUDD LLP |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | MICHIGAN |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1200 E. MICHIGAN AVE. |
| WORKSITE ADDRESS2 | SUITE 340 |
| LCA CASE WORKLOC1 CITY | LANSING |
| WORKSITE COUNTY | INGHAM |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48912 |
| LCA CASE WAGE RATE FROM | 62.62 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 55.55 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |