| LCA CASE NUMBER | I-200-16121-253809 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 4/30/16 |
| DECISION DATE | 5/5/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/26/16 |
| EMPLOYMENT END DATE | 9/26/19 |
| LCA CASE EMPLOYER NAME | POWELL COUNTY MEDICAL CENTER |
| EMPLOYER ADDRESS | 1100 HOLLENBACK LANE |
| EMPLOYER CITY | DEER LODGE |
| EMPLOYER STATE | MT |
| EMPLOYER POSTAL CODE | 59722 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 4068462212 |
| AGENT ATTORNEY NAME | JURISPRUDENCIA, MELVYN |
| AGENT ATTORNEY CITY | HOUSTON |
| AGENT ATTORNEY STATE | TX |
| LCA CASE JOB TITLE | MEDICAL TECHNOLOGIST |
| SOC CODE | 29-2011 |
| SOC NAME | MEDICAL AND CLINICAL LABORATORY TECHNOLOGISTS |
| NAIC CODE | 622110 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 24.82 |
| PW UNIT OF PAY | Hour |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 28.12 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | DEER LODGE |
| WORKSITE COUNTY | POWELL |
| LCA CASE WORKLOC1 STATE | MT |
| WORKSITE POSTAL CODE | 59722 |
