| LCA CASE NUMBER | I-200-22054-925787 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-02-23 |
| DECISION DATE | 2022-03-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician, Family Medicine |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-07-01 |
| END DATE | 2025-06-30 |
| 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 | Spectrum Health Primary Care Partners |
| TRADE NAME DBA | Spectrum Health Medical Group |
| EMPLOYER ADDRESS1 | 100 Michigan St NE |
| EMPLOYER CITY | Grand Rapids |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49503 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16163913963 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Gort |
| EMPLOYER POC FIRST NAME | Amber |
| EMPLOYER POC MIDDLE NAME | D |
| EMPLOYER POC JOB TITLE | Immigration Specialist |
| EMPLOYER POC ADDRESS1 | 333 Bridge Street NW |
| EMPLOYER POC ADDRESS2 | MC075 |
| EMPLOYER POC CITY | Grand Rapids |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49504 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16162677041 |
| EMPLOYER POC EMAIL | Amber.Gort@spectrumhealth.org |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 80 68th Street SE, South Campus |
| LCA CASE WORKLOC1 CITY | Grand Rapids |
| WORKSITE COUNTY | KENT |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49548 |
| LCA CASE WAGE RATE FROM | 141336 |
| LCA CASE WAGE RATE TO | 195000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 141336 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
