| LCA CASE NUMBER | I-200-23124-993937 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-05-04 |
| DECISION DATE | 2023-05-11 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician - Acute Care Surgery |
| SOC CODE | 29-1249.00 |
| SOC TITLE | Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-02 |
| END DATE | 2026-10-01 |
| 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 d/b/a Spectrum Health Medical Group |
| EMPLOYER ADDRESS1 | 444 Michigan St. NE |
| EMPLOYER ADDRESS2 | MC50 |
| EMPLOYER CITY | Grand Rapids |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49503 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16163913963 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Jenkins |
| EMPLOYER POC FIRST NAME | Angela |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | Senior Counsel |
| EMPLOYER POC ADDRESS1 | 444 Michigan St. NE |
| EMPLOYER POC CITY | Grand Rapids |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49503 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16163913963 |
| EMPLOYER POC EMAIL | angela.jenkins@corewellhealth.org |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 100 Michigan St. NE |
| LCA CASE WORKLOC1 CITY | Grand Rapids |
| WORKSITE COUNTY | KENT |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49503 |
| LCA CASE WAGE RATE FROM | 224328 |
| LCA CASE WAGE RATE TO | 469705 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 224328 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
