| CASE NUMBER | I-200-24234-283605 |
| CASE STATUS | Certified |
| RECEIVED DATE | 8/21/2024 |
| DECISION DATE | 8/28/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Neurologist |
| SOC CODE | 29-1217.00 |
| SOC TITLE | Neurologists |
| FULL TIME POSITION | N |
| BEGIN DATE | 9/1/2024 |
| END DATE | 8/31/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | International Medical Clinic, PLLC |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 43902 Woodward |
| EMPLOYER ADDRESS2 | Ste 100 |
| EMPLOYER CITY | Bloomfield Hills |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 48302 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +12487019090 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Mascia |
| EMPLOYER POC FIRST NAME | Nicole |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Chief Administrative Officer |
| EMPLOYER POC ADDRESS1 | 43902 Woodward |
| EMPLOYER POC ADDRESS2 | Ste 100 |
| EMPLOYER POC CITY | Bloomfiled Hills |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 48302 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +12487019090 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | nicolemascia@practicure.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Suh |
| AGENT ATTORNEY FIRST NAME | Tong (Skye) |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 32000 Northwestern Hwy |
| AGENT ATTORNEY ADDRESS2 | Suite 260 |
| AGENT ATTORNEY CITY | Farmington Hills |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48334 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +12489328844 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | mail@skyesuhplc.com |
| LAWFIRM NAME BUSINESS NAME | SKYE SUH, PLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 43902 Woodward |
| WORKSITE ADDRESS2 | Ste 100 |
| WORKSITE CITY | Bloomfield Hills |
| WORKSITE COUNTY | OAKLAND |
| WORKSITE STATE | MI |
| WORKSITE POSTAL CODE | 48302 |
| WAGE RATE OF PAY FROM | 120.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | $175.00 |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $115.00 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | N/A |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Suh |
| PREPARER FIRST NAME | Tong |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Skye Suh, PLC |
| PREPARER EMAIL | mail@skyesuhplc.com |
| BEGIN DATE CONVERTED | 2024-01-09 |
