| LCA CASE NUMBER | I-200-21033-048790 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-02 |
| DECISION DATE | 2021-02-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-02-28 |
| END DATE | 2024-02-27 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| 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 | Soubel Walsh |
| EMPLOYER POC FIRST NAME | Jill |
| EMPLOYER POC JOB TITLE | Sr. Counsel |
| EMPLOYER POC ADDRESS 1 | 648 Monroe St NW |
| EMPLOYER POC ADDRESS 2 | Ste. 400, MC050 |
| 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 | jill.soubelwalsh@spectrumhealth.org |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 25 Michigan Street NE |
| WORKSITE ADDRESS2 | Suite 2100 |
| LCA CASE WORKLOC1 CITY | Grand Rapids |
| WORKSITE COUNTY | KENT |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49503 |
| LCA CASE WAGE RATE FROM | 74776 |
| LCA CASE WAGE RATE TO | 137626.63 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 74776 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
