| LCA CASE NUMBER | I-200-21111-246057 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-21 |
| DECISION DATE | 2021-04-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-22 |
| END DATE | 2024-09-21 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Kossuth Regional Health Center |
| TRADE NAME DBA | Kossuth County Hospital |
| EMPLOYER ADDRESS1 | 1515 S. Phillips Street |
| EMPLOYER CITY | Algona |
| EMPLOYER STATE | IA |
| EMPLOYER POSTAL CODE | 50511 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15152952451 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Smith |
| EMPLOYER POC FIRST NAME | Jordan |
| EMPLOYER POC JOB TITLE | HR Generalist |
| EMPLOYER POC ADDRESS 1 | 1515 S. Phillips Street |
| EMPLOYER POC CITY | Algona |
| EMPLOYER POC STATE | IA |
| EMPLOYER POC POSTAL CODE | 50511 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15152952451 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Chesser |
| AGENT ATTORNEY FIRST NAME | Lori |
| AGENT ATTORNEY MIDDLE NAME | T. |
| AGENT ATTORNEY ADDRESS1 | 215 10th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 1300 |
| AGENT ATTORNEY CITY | Des Moines |
| AGENT ATTORNEY STATE | IA |
| AGENT ATTORNEY POSTAL CODE | 50309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15152882500 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Dentons Davis Brown PC |
| STATE OF HIGHEST COURT | IA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Iowa |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1515 S. Phillips Street |
| LCA CASE WORKLOC1 CITY | Algona |
| WORKSITE COUNTY | KOSSUTH |
| LCA CASE WORKLOC1 STATE | IA |
| WORKSITE POSTAL CODE | 50511 |
| LCA CASE WAGE RATE FROM | 24.3 |
| LCA CASE WAGE RATE TO | 31.49 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 22.09 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 and Employment |
| PREPARER LAST NAME | Chesser |
| PREPARER FIRST NAME | Lori |
| PREPARER MIDDLE INITIAL | T |
| PREPARER BUSINESS NAME | Dentons Davis Brown PC |
| PREPARER EMAIL | [email protected] |
