| LCA CASE NUMBER | I-200-19276-069700 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2019-10-03 |
| DECISION DATE | 2020-06-18 |
| ORIGINAL CERT DATE | 2019-10-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Section Chief- Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-03-19 |
| END DATE | 2023-03-18 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| 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 | 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 MIDDLE NAME | K |
| EMPLOYER POC JOB TITLE | Sr. Counsel |
| EMPLOYER POC ADDRESS1 | 648 Monroe St 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 | 16163913963 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | N |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1202 W Oak Street |
| WORKSITE ADDRESS2 | Suite 200 |
| LCA CASE WORKLOC1 CITY | Greenville |
| WORKSITE COUNTY | MONTCALM |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 48838 |
| LCA CASE WAGE RATE FROM | 227781.0 |
| LCA CASE WAGE RATE TO | 307465.6 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 227781.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
