\ H1B CASE NUMBER I-200-22165-278865



CASE NUNBER: I-200-22165-278865

LCA CASE NUMBERI-200-22165-278865
STATUSCertified - Withdrawn
LCA CASE SUBMIT2022-06-14
DECISION DATE2022-10-04
ORIGINAL CERT DATE2022-06-22
VISA CLASSH-1B
LCA CASE JOB TITLEDentist
SOC CODE29-1021.00
SOC TITLEDentists, General
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2022-10-01
END DATE2025-09-30
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMESpectrum Health Services, Inc.
EMPLOYER ADDRESS15201 Haverford Avenue
EMPLOYER CITYPhiladelphia
EMPLOYER STATEPA
EMPLOYER POSTAL CODE19139
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE12154711267
NAICS CODE621498
EMPLOYER POC LAST NAMEThayer
EMPLOYER POC FIRST NAMENicole
EMPLOYER POC JOB TITLEHuman Resources Business Partner
EMPLOYER POC ADDRESS15201 Haverford Avenue
EMPLOYER POC CITYPhiladelphia
EMPLOYER POC STATEPA
EMPLOYER POC POSTAL CODE19139
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE12155282681
EMPLOYER POC EMAIL[email protected]
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEHirsch
AGENT ATTORNEY FIRST NAMEMatthew
AGENT ATTORNEY MIDDLE NAMEI
AGENT ATTORNEY ADDRESS1150 Strafford Avenue, Suite 110
AGENT ATTORNEY CITYWayne
AGENT ATTORNEY STATEPA
AGENT ATTORNEY POSTAL CODE19087
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE16109646100
AGENT ATTORNEY EMAIL ADDRESS[email protected]
LAWFIRM NAME BUSINESS NAMELaw Office of Matthew I Hirsch
STATE OF HIGHEST COURTPA
NAME OF HIGHEST STATE COURTSupreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS15201 Haverford Avenue
LCA CASE WORKLOC1 CITYPhiladelphia
WORKSITE COUNTYPHILADELPHIA
LCA CASE WORKLOC1 STATEPA
WORKSITE POSTAL CODE19139
LCA CASE WAGE RATE FROM135000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE131893
PW UNIT OF PAYYear
PW WAGE LEVELII
PW OES YEAR7/1/2021 - 6/30/2022
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business