| LCA CASE NUMBER | I-200-23104-933269 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-14 |
| DECISION DATE | 2023-04-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-20 |
| END DATE | 2026-07-19 |
| 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 | Promedica Central Corporation of Michigan |
| EMPLOYER ADDRESS1 | ProMedica - Steam Plant |
| EMPLOYER ADDRESS2 | 100 Madison Avenue, 3rd Floor |
| EMPLOYER CITY | Toledo |
| EMPLOYER STATE | OH |
| EMPLOYER POSTAL CODE | 43604 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15675859600 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Bishop |
| EMPLOYER POC FIRST NAME | Kent |
| EMPLOYER POC JOB TITLE | President / Chief Medical Officer |
| EMPLOYER POC ADDRESS1 | ProMedica - Steam Plant |
| EMPLOYER POC ADDRESS2 | 100 Madison Avenue, 3rd Floor |
| EMPLOYER POC CITY | Toledo |
| EMPLOYER POC STATE | OH |
| EMPLOYER POC POSTAL CODE | 43604 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15675850978 |
| EMPLOYER POC EMAIL | ellen.baumert@promedica.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Ramos |
| AGENT ATTORNEY FIRST NAME | Maria del Carmen |
| AGENT ATTORNEY ADDRESS1 | 101 E. Kennedy Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 2800 |
| AGENT ATTORNEY CITY | Tampa |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33602 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | FLORIDA |
| AGENT ATTORNEY PHONE | 18132272252 |
| AGENT ATTORNEY EMAIL ADDRESS | mramos@shumaker.com |
| LAWFIRM NAME BUSINESS NAME | Shumaker, Loop & Kendrick, LLP |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Florida Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 781 Lakeshire Trail |
| LCA CASE WORKLOC1 CITY | Adrian |
| WORKSITE COUNTY | LENAWEE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49221 |
| LCA CASE WAGE RATE FROM | 165547 |
| LCA CASE WAGE RATE TO | 220000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 165547 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
| PREPARER LAST NAME | Ramos |
| PREPARER FIRST NAME | Maria del carmen |
| PREPARER BUSINESS NAME | Shumaker, Loop & Kendrick, LLP |
| PREPARER EMAIL | mramos@shumaker.com |
