| LCA CASE NUMBER | I-200-24170-125736 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-06-18 |
| DECISION DATE | 2024-06-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-07-30 |
| END DATE | 2027-07-29 |
| 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 | The Memorial Hospital |
| TRADE NAME DBA | Memorial Healthcare |
| EMPLOYER ADDRESS1 | 826 West King Street |
| EMPLOYER CITY | Owosso |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48867 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19897294540 |
| EMPLOYER PHONE EXT | 6440 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Horak |
| EMPLOYER POC FIRST NAME | Erika |
| EMPLOYER POC JOB TITLE | Administrative Assistant |
| EMPLOYER POC ADDRESS1 | 826 W. King Street |
| EMPLOYER POC CITY | Owosso |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48867 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19897294540 |
| EMPLOYER POC PHONE EXT | 6440 |
| EMPLOYER POC EMAIL | ehorak@memorialhealthcare.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wooley |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | E. |
| AGENT ATTORNEY ADDRESS1 | 333 Bridge Street NW |
| AGENT ATTORNEY CITY | Grand Rapids |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 49504 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16163366912 |
| AGENT ATTORNEY EMAIL ADDRESS | mewooley@varnumlaw.com |
| LAWFIRM NAME BUSINESS NAME | Varnum LLP |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court of Michigan |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 300 S. Chapman St. |
| LCA CASE WORKLOC1 CITY | Chesaning |
| WORKSITE COUNTY | SAGINAW |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48616 |
| LCA CASE WAGE RATE FROM | 242270 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 220563 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Wooley |
| PREPARER FIRST NAME | Michael |
| PREPARER MIDDLE INITIAL | E. |
| PREPARER BUSINESS NAME | Varnum LLP |
| PREPARER EMAIL | mewooley@varnumlaw.com |