| LCA CASE NUMBER | I-200-21189-450296 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-08 |
| DECISION DATE | 2021-07-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Endocrinologist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-31 |
| END DATE | 2024-07-30 |
| 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 ADDRESS1 | 444 Michigan St NE |
| EMPLOYER POC ADDRESS2 | 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 | 550 Munson Ave |
| WORKSITE ADDRESS2 | Suite 202 |
| LCA CASE WORKLOC1 CITY | Traverse City |
| WORKSITE COUNTY | GRAND TRAVERSE |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49686 |
| LCA CASE WAGE RATE FROM | 152173 |
| LCA CASE WAGE RATE TO | 187574.4 |
| LCA CASE WAGE RATE UNIT | Year |
|
| PREVAILING WAGE | 152173 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
