| LCA CASE NUMBER | I-200-23135-023015 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-05-15 |
| DECISION DATE | 2023-05-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Lead Medical Technologist |
| SOC CODE | 29-2011.00 |
| SOC TITLE | Medical and Clinical Laboratory Technologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-08-07 |
| END DATE | 2026-08-06 |
| 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 | St. Croix Regional Medical Center, Inc. |
| TRADE NAME DBA | St. Croix Health |
| EMPLOYER ADDRESS1 | 235 E State Street |
| EMPLOYER CITY | St. Croix Falls |
| EMPLOYER STATE | WI |
| EMPLOYER POSTAL CODE | 54024 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17154830247 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Jerrick |
| EMPLOYER POC FIRST NAME | Andrea |
| EMPLOYER POC MIDDLE NAME | Elizabeth |
| EMPLOYER POC JOB TITLE | V.P. of People and Organizational Development |
| EMPLOYER POC ADDRESS1 | 235 E State Street |
| EMPLOYER POC CITY | St. Croix Falls |
| EMPLOYER POC STATE | WI |
| EMPLOYER POC POSTAL CODE | 54024 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17154830247 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Johnson |
| AGENT ATTORNEY FIRST NAME | Alyssa |
| AGENT ATTORNEY MIDDLE NAME | Mae |
| AGENT ATTORNEY ADDRESS1 | 3950 IDS Center |
| AGENT ATTORNEY ADDRESS2 | 80 South 8th Street |
| AGENT ATTORNEY CITY | Minneapolis |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55402 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16123210082 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Borene Law Firm, P.A. |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Minnesota Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 235 E State Street |
| LCA CASE WORKLOC1 CITY | St. Croix Falls |
| WORKSITE COUNTY | POLK |
| LCA CASE WORKLOC1 STATE | WI |
| WORKSITE POSTAL CODE | 54024 |
| LCA CASE WAGE RATE FROM | 25.19 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 25.19 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
