| LCA CASE NUMBER | I-200-21264-596038 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-21 |
| DECISION DATE | 2021-09-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Lab Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-09-27 |
| END DATE | 2024-09-26 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Spectrum Health System |
| 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 | 622110 |
| EMPLOYER POC LAST NAME | Soubel Walsh |
| EMPLOYER POC FIRST NAME | Jill |
| EMPLOYER POC JOB TITLE | Senior Counsel |
| EMPLOYER POC ADDRESS1 | 333 Bridge St. NE |
| EMPLOYER POC ADDRESS2 | Ste. 430, MC075 |
| EMPLOYER POC CITY | Grand Rapids |
| EMPLOYER POC STATE | MI |
| EMPLOYER POC POSTAL CODE | 49504 |
| 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 | 35 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 | 28.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 13.78 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
|
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
