| LCA CASE NUMBER | I-200-19143-501593 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2019-05-23 |
| DECISION DATE | 2019-10-07 |
| ORIGINAL CERT DATE | 2019-05-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC TITLE | PHYSICIANS AND SURGEONS, ALL OTHER |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2019-05-23 |
| END DATE | 2022-05-19 |
| 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 | 333 BRIDGE STREET NW |
| EMPLOYER ADDRESS2 | STE 430, MC075 |
| EMPLOYER CITY | GRAND RAPIDS |
| EMPLOYER STATE | MI |
| EMPLOYER POSTAL CODE | 49504 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6163913963 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | SOUBEL WALSH |
| EMPLOYER POC FIRST NAME | JILL |
| EMPLOYER POC MIDDLE NAME | K. |
| EMPLOYER POC JOB TITLE | SENIOR COUNSEL |
| EMPLOYER POC ADDRESS1 | 648 MONROE AVE NW |
| EMPLOYER POC ADDRESS2 | STE 400, 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 | 6163913963 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | N |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 100 MICHIGAN ST. |
| LCA CASE WORKLOC1 CITY | GRAND RAPIDS |
| WORKSITE COUNTY | KENT |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49503 |
| LCA CASE WAGE RATE FROM | 100.0 |
| LCA CASE WAGE RATE TO | 105.77 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100.0 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 2019 |
| PW OTHER SOURCE | OES |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
