| LCA CASE NUMBER | I-200-21054-094453 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-23 |
| DECISION DATE | 2021-03-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Hospitalist |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-08 |
| END DATE | 2024-07-07 |
| 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 | Lakeland Hospitals at Niles and St Joseph, INC |
| TRADE NAME DBA | Lakeland Hospitals at Niles and St Joseph, INC |
| EMPLOYER ADDRESS1 | 1234 Napier Avenue |
| EMPLOYER CITY | Saint Joseph |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49085 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | MICHIGAN |
| EMPLOYER PHONE | 12699838300 |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Soubel Walsh |
| EMPLOYER POC FIRST NAME | Jill |
| EMPLOYER POC JOB TITLE | Sr. Counsel |
| EMPLOYER POC ADDRESS 1 | 444 Michigan St NE |
| EMPLOYER POC ADDRESS 2 | 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 | 1234 Napier Avenue, St |
| LCA CASE WORKLOC1 CITY | St. Joseph |
| WORKSITE COUNTY | BERRIEN |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49085 |
| LCA CASE WAGE RATE FROM | 56638 |
| LCA CASE WAGE RATE TO | 205000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 56638 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
