| LCA CASE NUMBER | I-200-18003-195859 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 1/9/18 |
| DECISION DATE | 1/16/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 1/15/18 |
| EMPLOYMENT END DATE | 1/14/21 |
| LCA CASE EMPLOYER NAME | SPECTRUM HEALTH PRIMARY CARE PARTNERS |
| EMPLOYER BUSINESS DBA | SPECTRUM HEALTH MEDICAL GROUP |
| EMPLOYER ADDRESS | 333 BRIDGE STREET NW, MC075 |
| EMPLOYER CITY | GRAND RAPIDS |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49504 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6163913963 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | KORYTO, JOHN |
| AGENT ATTORNEY CITY | KALAMAZOO |
| AGENT ATTORNEY STATE | MI |
| LCA CASE JOB TITLE | PULMONARY CRITICAL CARE PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 200,491.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2018 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 265,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | GRAND RAPIDS |
| WORKSITE COUNTY | KENT |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49503 |
