| LCA CASE NUMBER | I-200-25002-587469 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2025-01-02 |
| DECISION DATE | 2025-01-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1216 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2025-07-01 |
| END DATE | 2028-06-30 |
| 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 | Spectrum Health Primary Care Partners |
| TRADE NAME DBA | Corewell Health Medical Group West |
| EMPLOYER ADDRESS1 | 100 Corewell Dr. NW -- MC6481 |
| EMPLOYER CITY | Grand Rapids |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49503 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16163913963 |
| EMPLOYER FEIN | 38-1358164 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Jenkins |
| EMPLOYER POC FIRST NAME | Angela |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | Senior Counsel |
| EMPLOYER POC ADDRESS1 | 100 Corewell Dr. NW -- MC6481 |
| 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 | angela.jenkins@corewellhealth.org |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 588 E. Lakewood Blvd. |
| LCA CASE WORKLOC1 CITY | Holland |
| WORKSITE COUNTY | OTTAWA |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49424 |
| LCA CASE WAGE RATE FROM | 152048 |
| LCA CASE WAGE RATE TO | 258976 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 152048 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |