| LCA CASE NUMBER | I-200-22062-948205 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-03-03 |
| DECISION DATE | 2022-03-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | WOMEN'S HEALTH OB/GYN PHYSICIAN |
| SOC CODE | 29-1064.00 |
| SOC TITLE | Obstetricians and Gynecologists |
| 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 | DAWN |
| EMPLOYER POC JOB TITLE | IMMIGRATION SPECIALIST |
| EMPLOYER POC ADDRESS1 | 333 BRIDGE STREET NW |
| EMPLOYER POC CITY | GRAND RAPIDS |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49503 |
| 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 | 212 S. SULLIVAN AVE |
| LCA CASE WORKLOC1 CITY | FREMONT |
| WORKSITE COUNTY | NEWAYGO |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49412 |
| LCA CASE WAGE RATE FROM | 187200 |
| LCA CASE WAGE RATE TO | 323587.73 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 187200 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
