| LCA CASE NUMBER | I-200-21021-026454 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-01-21 |
| DECISION DATE | 2022-03-28 |
| ORIGINAL CERT DATE | 2021-01-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Laboratory Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-02-01 |
| END DATE | 2024-01-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| 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 | [email protected] |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 123 4 Napier Ave |
| LCA CASE WORKLOC1 CITY | ST. JOSEPH |
| WORKSITE COUNTY | BERRIEN |
| LCA CASE WORKLOC1 STATE | MI |
| WORKSITE POSTAL CODE | 49085 |
| LCA CASE WAGE RATE FROM | 19.17 |
| LCA CASE WAGE RATE TO | 28.43 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 19.17 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
