| LCA CASE NUMBER | I-200-21123-282328 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-05-03 |
| DECISION DATE | 2021-05-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pulmonary/Critical Care Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| 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 | 444 Michigan Street NE |
| EMPLOYER ADDRESS2 | MC 050 |
| 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 | Soubel Walsh |
| EMPLOYER POC FIRST NAME | Jill |
| EMPLOYER POC MIDDLE NAME | Kathryn |
| EMPLOYER POC JOB TITLE | Senior Counsel |
| EMPLOYER POC ADDRESS 1 | 444 Michigan Street |
| EMPLOYER POC ADDRESS 2 | MC 050 |
| 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 | True |
| AGENT ATTORNEY LAST NAME | Koryto |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | Francis |
| AGENT ATTORNEY ADDRESS1 | 100 West Michigan Ave |
| AGENT ATTORNEY ADDRESS2 | Ste 200 |
| AGENT ATTORNEY CITY | Kalamazoo |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 49007 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
|
| AGENT ATTORNEY PHONE | 12692262979 |
| AGENT ATTORNEY EMAIL ADDRESS | korytoj@millerjohnson.com |
| LAWFIRM NAME BUSINESS NAME | Miller Johnson |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | MICHIGAN Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 100 Michigan Street NE |
| LCA CASE WORKLOC1 CITY | Grand Rapids |
| WORKSITE COUNTY | KENT |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49503 |
| LCA CASE WAGE RATE FROM | 280874 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 139838 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
